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51139 Tt+ 7a" ft !/`�"'�/• Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No. p / File No. Date a � 196 Application is hereby made for a permit to to he occupied only as in cordance with Plot Plan, Plans and 41eific,tjon filed herewith, Estimated Value of Improvements $ FEES C p- '/ /NSCy Plan Check $ nx( Ower � .-'z Address Conti. Address Phone �'S ���0 State Licea=d Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES 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 19,6 FEES Contr. Address Phone State License 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 MOTOR 5 FINAL PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REQ. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. MISC MISC MISC '�� �/►A�t��/ Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No. lig li p. rp F File No.J?471 Date J 1967- Application 96t-Application is hereby made for a permit to a story, Type to be occupied only as in frccordance with Plot Plan, Plans an Specification filed herewith,. Estimated Value of Improvements $ FEE$ A Plan Check $ OwnerQ � �M� - Address Contr. -- r+.""'� `i"'��i Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS-PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the - State of Califnrnia 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 REO. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH - -` ROU COMPLETE FINAL PLBG. FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. MISC MISC ^ MISC i Bldg. DvIA Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO F-1 Sewer Connection Sanitary Permit No. ...... ----------- Plumbing Final Plumbing Permit No. .. ----------- LotNo- -------- ................. Owner or Tenant .... ......... At ... ------------------------------------.............. Tract ----------------------------- ---------------- ----- ---**-,*------ -* ---------- ------------ Date Connected -------------------------------- ------ ------------------- -- ----------- -------------- 19..fa.. . I � � Date --------- ----- Date Final ----------------------------- I----- ------------------------------------------------------------ .......... .................... PLUMBING INSPECTOR 111 7/63-1M cIT,a4Q—,as VYNTTFa DEPT. 0. Street Lot No. Au G CITY OF CUPERTINO PPLICATION FOR BUILDING PERMIT Date A D / 1 Sanitary No. -G , 19 „ Permit No.__ s Application is ereby made for a permit to 3r 1 T— � a story,TYPea7 � �.5�70 Buil ing PEi �n to be occupied only as in accordance with o v Flan—s, .RU q—j ALG E T Specs nations an Plot-Plani ed herewi h. PI Ck Fee Estimated Value of Improvements,$ Fee g a rO. o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and '> all other laws applicable to the construction, location, and use of buildings within the City of A Cupertin will com lid h. 3 Owner 3 'N Address c By Q � v c Address Cd Phone� A roved PP State License 6 uilding Inspector No. Street Lot No. o — d APPLICATION FOR PLUMBING PERMIT E' E CITY OF CUPERTINO 0 Sanitary No. 9�/210/0 Date _ ... 196 II ='j. Permit No �_S 1 JAN 3 Fee S r Application is hereby made to the City,of Cupertino for a permit to install plumbing pipes and/or fixtures0is[e8 on the reverse;side Hereof,and agrees to install said prices and/or fixtures o h in accordance with the provisions of the Plumbing Code of the City of Cupertino,and all other 'c laws applicable thereto. v 0 m m Use of Pr ise o U o ° Owner Addres P .f By Address 3 Contractor,Agent 3 Phon1_3';PX—01 0 ' — �Q ! �f AWILLIAr\1 D. tate License Approved Plumbing Inspector v ! � ƒ ) / aaQz ` ) ) ; a No { j \ )fv� {5 � %= 2a � « « ; = u3 : = = lG » <