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NO PERMIT NUMBER (2) „Z a 3Sit Let No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO `` Sanitary No.7T//�,,` OF r �( File No. Date •7 'y/ 196 '�/ Application is hereby made for a permit to a story, Type to be occupied only as ' in accordance with-Plot Plan, Plans old Specification filed herewith, i Estimated Value of Improvements $ FEE$ Plan Check $ Owner Address Contr. Address Phone �'s ` ,/ State Lican J Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE $ PLUMBING FEE $ Contr. 'Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 1% FEES Contr. Address Phone State License �I Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRING FIXTURES MOTORS FINAL PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REQ. SANITARY NO. 1 UNDERGROUND ROUGH 7-7 PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN- 647-71 -'O, FINAL PLBG. FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. MISC MISC q MISC Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ��. Sewer Connection Sanitary Permit No. -----.rf..���-h�......... �( Plumbing Final Plumbing Permit No. ...5 /1...j....... LotNo. -------------------------------- Owner ------ Owner or Tenant ... ...---"�`.c-'.:.:....---4_<-s.r:2.-c:+.a�/ At Glia P - ---- Tract -Tract Date Connected ....... : 7-- � -------------------------------------------------------------- 19... Date Final .......... ....�..` 21 \ '----- 19.---------- _.... - - Ill 12/66-1M PLUMBING INSPECTOR �n�� Sc7 l=JI �Ui= .CG�C CC wf.�L. - 'X'. '•/� LOT NO.` STREET' CITY OF CUPERTINO.. S 'I8?APPLICATIONFORJELECTRICAIt`PERM IT ,. �r ;�. 1 "•• ` - .'Permit No Data' 1J ',197 fid' r•. FeeST Application is hereby made to the City of Cupertino for a' pernnittto-install electrical Y, .wiring and/orTfixtures as- lisied on � and agrees Tooinstall'iaid wiring and/or,fiztures in accordance with �pr`ovisions'ofthe Electrical Code.of the'-'. J+ City,of Cupertino; ap xand all other laws cable thereto ; Premises •O�iS i C/E/!.«.' Perform PK-V I C'�C /� •�G•1 e., �t.. Owne�t• ` 'f 77�L'"�. �` +F/7 yl Address�Q3�a +rf L1L'r'CC�� ri By Address Contractor;Apenti i fy.},' . :'Phone .. '.d s"' �• 'ZI Stat,L ii" e>f:kD L)CI\Appro 40 h•. +' `, e1 i•{ �... El e- ical, speddi I AGREEI`I_WILL NOT VIOLATE ANY''OF THE RKM 'S l _ COMPENSATION LAWS"OF TME STATE0F ` NIA. 14� fa It 2,77- 1,2-1 ,MG lie s7 �.4 4 2."1' i�, I 2v