51226NO. $ EF.I'
rP�tl A N FOR PLUMBING PERMIT
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U
=o r�TY (?E. U°ERTINO
App cation is Iereby made to the C
o a pipes and/or fixtures listed on the rev
z I and/or fixtures in accordance with the
a , Cupertino, and all other laws applica
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� CONTRACTOR, AGENT
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OF CUPERTINO
Sanitary No.
6_ Permit No .S%%?4
9
Fee $ 'tv
ity of Cupertino for a permit to install plumbing
erse side hereof, and agrees to install said prices
provisions of the Plumbing Code of the City of
ble thereto.
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Approved /
PLUMBING INSPECTOR `'
Water Heater
Water Closet
Bath Tub
Shower
Lavatories
Kitchen Sink
Dish Washer
Waste Disposal
Wash Tray
Washing Machi
Water Softener
To Curb
Size
Water
-Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. (m / U ��YL
Date � � 196 File No.o'
pplicatiQn is her made for a permit to ^,
sto , Type
;to be occupi d oxily as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES 4R Plan Ch
LL
Contr. _ �y ^a �9' I Address _^
Phone L�1� (� ��i3 06 State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
DateIZ 196�L..L.—� FEES 1925-
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Contr. --I.dJ �(�� Address 11J�L����///��� / aa s1 /
Phone _ - / J{,- 07 �i 0 State License Q a OO 4;
Approved
APPLICATION' FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
r PLUMBING FEE $ ! 1�
Contr. Address a%!n
Phone -97 `97 rf - 6 9�L State License
Approved —
Date � APPLICATION FOR APPLIANCE
� � 196 p7✓ FEES
Address
Phone — ii3 7eO i 35--f State License
Approved
4pplicants agree net to violate any of the
Vorkmmn's Compensation Laws of the
irate of California
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RECORD OF INSPECTION APPROVALS '
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
BUILDING
INSPECTOR
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ELECTRICAL
INSPECTOR
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PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
REO.
DATE
PAD FINAL
FOUNDATION I-1.
UNDERFLOOR 6 I�
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
NO ROUGH
2--c-7
UGH
PLE TE 3'- 2
IRaY 4A,&d�'��'%l J.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
BUILDING
INSPECTOR
tip
ELECTRICAL
INSPECTOR
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41f/ l&m
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
REO.
0.
NO ROUGH
2--c-7
UGH
PLE TE 3'- 2
IRaY 4A,&d�'��'%l J.
AANCE
DA E
MISCS . d X17-
MISC �'✓r AI x
MISC
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date...--
........ ... .......... 19-1:3- Building Permit No. ne Buildin Located at
Owned by .G?L.c- -... .,ia
Has Been (A For Use As: .... ..'..:r...