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51043.1-C120975 I VALLEY GREEN DRIVE C-1 Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date April 20 796 6 Application is hereby made for a permit to a to be occupied only as File No. 51o43-1 Sanitary story, Type in accordance with Plot Plan, Plans and Specification filed herewith„ Estimated Value of Improvements $ FEES Plan Check $ Owner Address Contr. Phone Address State License Approved _ APPLICATION FOR ELECTRICAL PERMIT Dote 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING 8, GAS PERMIT Date 196 GAS FEE E PLUMBING FEE $ Contr. Phone Date Cont,. Phone Address State License Approved APPLICATION FOR APPLIANCE PERMIT 196 FEE$ Address State License Approved Applicants agree not to violate any of the Workman's Compensation Lows of the State of California ELECTRICAL SIZE t RECORD OF INSPECTION APPROVALS t FOUNDATION —0"'� BUILDING _ Do to RECEPTACLES ROUGH WIRING FIXTURES Date Date Inspector UNDERFLOOR PERMIT FEE Date Inspector DetaO �O FRAME I Inspector STORM DRAIN FEE Date MISC Date Inspector LATH 8 PLASTER Date PERMIT FEE" FINAL FLOOR FURNACE Inspector Date FINAL Inspector GAS PIPING FEE FINAL Date Ins Dector ELECTRICAL SIZE TERIAL ,OUTLETS UNDERGROUND FEE SWITCHES Do to RECEPTACLES ROUGH WIRING FIXTURES Date H.P. CHARGE FINISH WIRING PERMIT FEE Date TOTAL FEES FIXTURES Inspector ELECTRICAL SIZE TERIAL SERVICE SIZE UNDERGROUND FEE UNDERGROUND Do to REGISTERS ROUGH WIRING BLOWER FURNACES Date Inspector FINISH WIRING ROUGH COMPLETE Date MISC FIXTURES Inspector STORM DRAIN FEE Date MISC Motors Dote Inspector Date PERMIT FEE" FINAL FLOOR FURNACE Inspector Inspector Inspector Inspector Inspector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE TERIAL TYPE OF APPLIANCE TOTAL FIXTURES FEE UNDERGROUND FIXTURE FEE REGISTERS PARTIAL ROUGH BLOWER FURNACES Date Inspector MAIN DRAIN FEE ROUGH COMPLETE MISC Date Inspector STORM DRAIN FEE MAIN DRAIN MISC Dote Inspector WATER SYSTEM FEE PERMIT FEE" GAS PIPING FLOOR FURNACE Date Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES w; COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE" FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector