51140 10628 LO N NA LN
51140
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MR & MRS MAYNARD R.
BUTTERFIELD
SCANNED BOX # 709
�� 6 e2 r I bC..I�-�..�/ O�•w,/�/ Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
/ File No.
Date ?f�e 79 .�� ,
Application is hereby made for a permit to
a story,
to be occupied onlyas
in accordance with Plot Plan, Plans and Spec' e n filed herew' h�
1 Estimated Value of Improvements $
FEES t"'i� Plan Check $
Owner
Contr. Address
Phone ase, - gs�� State License
Approved /��//✓�-� '
APPLICATION FOR ELECTRICAL PERMIT
Date d/ 197/ FEES
i
Contr. ilress
Phone State License
Approved "'T^-"�
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 GAS FEE $
PLUMBING FEE $
Contr. _�^'�+�s a...►.X.� L.tJJCd�dress
or
Phone a11 f.i''9/ State License
Approved
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APPLICATION FOR APPLIANC PERMIT
Data 19 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workmmn's Compensation Laws of the
State, of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPWqTOR MISC.
UNDERGROUN OUGH
ROUGH WIRING
FINISHED WIRING in
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH .000
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC. =
MISC
MISC
i
MISC
102G_" ". LOT NO.
NO. STREET
CIT( OF C*IrERTiNO
e WATER DEPT. CITY OF CUPERTINO
x �.U,C, - r 1971
APPLICATION FOR APPLIANCE PERMIT
3 U PDayF � r r 19 71 Permit No. ����'
Fee S
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Application is hereby rrlRTle to the City-of Cupertino for'a permit to
o install gas appliances as listed on the reverse side hereof, and agrees to
<N install said appliances in accordance with the provisions of the Plumbing
W W Code of the C,ri�ty of Cupertino, and all other laws applicable thereto.
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Permit No.
Date A — ,19 Fee S
Application is hereby made tote City of Cupertino for a.permit to install electrical
wiring and/or fixtures as listed on the reverse 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 /1_0�� Work To Be
Premises fJ /�T/,� / Performed / ry/A` /
Owner r'E X IMM Addres 4e f ZQ �+//1/�/g'
Phone ^^9^96-26 '0
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State Licen 2 //�24P--� Approved
Electrical Inspector
`r I AGREE I WILL NOT VIOLATE ANY OF THE WORY(MEN')
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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APPLICATION FOR FOR PLUMBING PERMIT
E CITY OF CUPERTINO
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'!Datea3 197Z Permit Nos/-/Od
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s Application is hereby made to the City of Cupertino for a permit to install plumbing pipes
and/or fixtures listed on the reverse side hereof,and agrees to install said prices and/or fixtures
° ro in accordance with the provisions of the Plumbing Code of the City of Cupertino,and all other
laws applicable thereto.
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FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material
Bath Tub To Curb
Shower To Prop. Line
Lavatories To Existing
Kitchen in
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.S ink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys, Fee
Relief Valve Cag Fe
S
Vac Breaker
Skimmer
Filter
Permit Fee Z• 0'U
Total Total Fee