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No.
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to be
Lot No. ` V
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
192-0—
cation is here bX made for a permit to
as
File Noz/ L ti
story, Type T
in accordance with Plot Plan, Plans and Specification filed herewith,
�Estimated Value of Improvements s
FEE d0 Plan Che,
IAROwr, I ddress
Contr. Address
Phone 63MI of- i(a 16 State Liu
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date -I L 196
k
Phone h-7yri
APPLICATION FOR
i
Data /°Z 196 7/
:ontr,
Phone 7 (r — 6 9 .2/
APPLICATION FOR
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'hone -27 Oi,37-�
1pplicants agree not to violate any of the
'orkman'.s Compensation Laws of the
'tate of California
FEE$ I'R—
Address J7 7.0 &p/1 &6L SV
State License
Approved 4A Idg,
_
PLUMBING 8 GAS PERMIT
GAS FEE $ y ro)
PLUMBING FEE $ _ -2ef : ab
Address rS't Ly
State License
Approved
APPLIANCE PERMIT
FEE$ �� (/�7',�`�
Address 1-3'J J✓ /p=->•-_--+� ' i
State License
Approved"^i`�--r`-'---✓�
PAD FINAL
FOUNDATH
UNDERFLO
FRAME
LATH 8 PL
GRADING F
FINAL BLD
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.'
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH -2--'71
ROUGH COMPLETE 3 -� ti 71 �'
MAIN DRAIN -12-- 71
FINAL PLBG. 6-
FINAL GAS -Z
FINAL APPLIANCE -7
q4S L.,Ne U.+" wa Noah7d
R w � 3-r6-719.`_�
ucocrrnp MISC.
IN �1 l-7
DR 7-' Ie
ELECTRICAL
•3
- cEpf -LEc`r Rh
4STER
UNDERGROUND ROUGH
INAL
G. /a
E
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH -2--'71
ROUGH COMPLETE 3 -� ti 71 �'
MAIN DRAIN -12-- 71
FINAL PLBG. 6-
FINAL GAS -Z
FINAL APPLIANCE -7
q4S L.,Ne U.+" wa Noah7d
R w � 3-r6-719.`_�
ucocrrnp MISC.
1�/
ELECTRICAL
INSPECTOR MISC.
UNDERGROUND ROUGH
3-
-7/
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING,
GAS & APPLIANCE
DATE
INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH -2--'71
ROUGH COMPLETE 3 -� ti 71 �'
MAIN DRAIN -12-- 71
FINAL PLBG. 6-
FINAL GAS -Z
FINAL APPLIANCE -7
q4S L.,Ne U.+" wa Noah7d
R w � 3-r6-719.`_�
ucocrrnp MISC.
CERTIFICATE Of COMPLETION
BURRING INSPECTOR'S OFFICE
CI'T'Y OF CUPERTINO
Date ----1 �� 19....� Building Permit No.._).%_x:c-6
The Building atq---L._ :/.. ::. ^ ' !us .it-..,
Owned by .. as f '.'s........ .....-
-- - - :.....p.-...
Has Been ( or Use As:..... ........... :...--------------
-
(Altered): .
LOT
NO. STREET
APPLICATION FOR PLUMBING PERMIT
CRY OP Curansio CITY OF CUPERTINO
/030 To+r /i"e N -
c.
n unitarvy Nn.
Date Jt.�Ki,�s,��t 196L Permit No. .J la-a-Fo
Fee S='
Application i P,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 in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
Phoneme
State License G-3 (e - IC 5 S R
Address/()/1o2 Aln.ai✓rn-/l�s�(
Approved
EF20
PLUMBING INSPECTOR
Sewer
LU
nklcr Volvcs
RECORD.OF INSPECTION
Main
UNITSI FEES I
/O/1- V I e0zeget, ;� � LOT NO. 210
NO. T
TQAN
IN -it ��N FOR PLUMBING PERMIT
np!ITY OP CUPF.RTINO
12 rqI/
Sanitary No.
Date /)--W-70, , 196— Permit No 5r•2 26
r+TY C CU°ERTIN10 Fee $ 2�• 5�
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 in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of
State License 1/ % 4
\Sr
Woi
Address,47-d! G%.C�..tGfLGdGe.-
Approved
ALUMBING INSPECTOR
G
DC
Water Heater I / /,IT I I Size
Material
Comb.Sink & Tray To Curb
Dental Unit
313
DRAINAGE
Water Svs. Fee