51001.2 ElectricalLot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. SHOD/ j
Date _y_ 8' -196'9
Application hereby made for a perm to A
to be occupied only as
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v
in accordance with Plot Plan, Plans and
filed herewith.
yEstimated Value of Improvements $
FEES 1'. D �J Plan Check E .. /%
Owner A'W /1�1/ � .t . D -� ddress �Dy37 viayM- /LIA
Contr. 'Address
Phone 13 Y-
L State License l�;_r_�s_Q-✓
Approved �. •/G
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Date
Contr
Phone
Date
Cont,.
Phone
Date
Contr.
Phone
APPLICATION FOR ELECTRICAL PERMIT
196 FEES
Address
State License
Approved
APPLICATION FOR 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 i
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR M
PAD FINAL
FOUNDATION
UNDERFLOOR -
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
UNDEF
ROUGI
FINISH
FIXTU
MOTOI
FINAL
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
WIRING=71
ED WIRING
RES -
S
nALR rLUrt K.W.-
SANITARY NO.
UNDERGROUND ROU
PARTIAL ROUGH
ROUGH COMPLETE.
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
-
l
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
DATE
Inv3i \�I Si'c1 l<nnn Y_i7in�+iedcsM
NO. STREET LOT NO.
APPLICATIONFOR, ELECTRICAL PERMIT
I t1 GIIaTY OI `C�UYERTINO
Date APR _ cI torn 19'tl_ Permit NoO
Fee.
Applicatiori'i"s\hereby-made to the -City of ,Cupertino for a permit to install electrical
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wiring and%or fixtures as listed(onitiie`r�erse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises
Owner -Xlirf")Lrx
By __ 'llnmr t Y) ffiarhboy
COMRACTOGENT
Ph.nc: 938- 1(,()-)
Address
Address
ApprovedW—.,
ELECTRICAL INSPECTOR
f State License, /
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LOT NO.
NO.
�I OR PLUMBING PERMIT
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OF CUPERTINO
Yo i G 2 6 1966 Sanitary No.
3 a Date 196— Permit No
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CITY 0 UPERTINO Fee s�
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' 0 Application Is hereby made to the City of Cupertino for a permit to install plu bing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
W 2 O
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J LL USe Of P mises
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r 3 Own Address
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a By Address: O� ��/� /
3 F NTRA , AGENT
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Phone.
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02 State_Licensea Approved
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V/ PLUMBING INSPECTOR
HXTURES NUN, BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heate Size
Water C osets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
tsh Washers Sewer Boxes
Waste Disposals
as'h Trays STORM DRAINAGE
Washing Machines Size
Water So teners Material
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Drinking Fountains
I oor Drains WATER.SYSTEM
oppers Size
Restaurant Sinks Material
an raps TOTAL FEES
rinals Fixture Fee
ren rains Main Drain Fee
Water-Leaders Storm Drain Fee
Sprinkler VolvcsWeeater Sys. Fee
Permit Fpo
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...