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51043.1-C9_ 20979 I VALLEY GREEN DRIVE Lot No. C-9 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Data 196 Application is hereby made for a permit to a to he occupied only as File No. Sanitary No. story, Type in accordance with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements $ Plan Check $ Address Address State License Approved APPLICATION FOR ELECTRICAL PERMIT 196 FEES Address State License Approved APPLICATIONFOR PLUMBING & GAS PERMIT 196 GAS FEE $ PLUMBING FEE $ — Address State License Approved APPLICATION FOR APPLIANCE PERMIT 196 FEES Address State License Approved Applicants agree not to violate any of the Workewn's Compensation laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION 1GI BUILDING Date UNDERFLOOR Date eo.. — Date LATH & PLASTER Do to cw. Date MAIN DRAIN STORM DRAIN Inspector Inspector Inspector Inspector Ins nectar ELECTRICAL SIZE FEE OUTLETS SERVICE SIZE TOTAL FIXTURES SWITCHES UNDERGROUND RECEPTACLES Date Inspector FIXTURES H.P. CHARGE Dote Inspector PERMIT FEE *ROUGH COMPLETE TOTAL FEES Date Inspector MAIN DRAIN STORM DRAIN Inspector Inspector Inspector Inspector Ins nectar ELECTRICAL SIZE FEE TERIAL SERVICE SIZE TOTAL FIXTURES UNDERGROUND UNDERGROUND FIXTURE FEE Date Inspector ROUGH WIRING Date Dote Inspector FINISH WIRING *ROUGH COMPLETE MISC Date Inspector FIXTURES STORM DRAIN FEE MAIN DRAIN Date Inspector Motors Date Inspector WATER SYSTEM FEE GAS PIPING Date Inspector FINAL Inspector GAS PIPING FEE Date Inspector PLUMBING & GAS SIZE MATERIAL SIZE MATERIAL WATER SYSTEM SIZE FEE TERIAL UNITS TOTAL FIXTURES CIRCULATING HEATERS UNDERGROUND FIXTURE FEE PARTIAL ROUGH BLOWER FURNACES Date Inspector MAIN DRAIN FEE - SUSPENDED UNIT *ROUGH COMPLETE MISC Date Inspector STORM DRAIN FEE MAIN DRAIN GAS DRYER Date Inspector WATER SYSTEM FEE GAS PIPING TOTAL FEE Date Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC vote Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Data Inspector