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51037No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date 196 AppliNtior is hereby made for a permit to to be occupied only as Lot No. Sanitary No. story, Type in accordance with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements FEE$ Owner Contr. Phone $ Pion Check $ Address Address State Licensc Approved _ APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Data 196 �1 GAS FEE $ PLUMBING FEE $ � i ^ Contr. e7�f risi� Address /ITV Phone State License 04?,:? �d8/ Approved dkIh—r `i 4 APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS SIZE BUILDING FOUNDATION SWITCHES SIZETERIAL Date UNDERFLOOR ' H.P. CHARGE Date Date Inspector FRAME Inspector - MAIN DRAIN FEE Do to Date LATH & PLASTER Inspector FINISH WIRING Inspector Do to cwAi Date Date Inspector Inspector Inspector Ins pe ctor Insoector ELECTRICAL SIZE ,OUTLETS TYPE OF APPLIANCE SWITCHES SIZETERIAL RECEPTACLES FIXTURES -REGISTERS H.P. CHARGE Date PERMIT FEE Inspector TOTAL FEES Inspector - Inspector Inspector Inspector Ins pe ctor Insoector ELECTRICAL SIZE MATERIAL TYPE OF APPLIANCE SERVICE SIZE SIZETERIAL UNDERGROUND FIXTURE FEE -REGISTERS PARTIAL ROUGH Date BLOWER FURNACES Inspector ROUGH WIRING Inspector - MAIN DRAIN FEE ROUGH COMPLETE Date Inspector FINISH WIRING Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector FIXTURES Inspector WATER SYSTEM FEE PERMIT FEE - Date Inspector Motors Inspector GAS PIPING FEE FINAL Date Inspector FINAL Inspector PERMIT FEE AA, PLUMBING & GAS Date Inspector MAIN DRAIN SIZE MATERIAL TYPE OF APPLIANCE STORM DRAIN SIZETERIAL UNDERGROUND WATER SYSTEM I SIZE 11WTERIAL 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 �� Date Inspector WATER SYSTEM FEE PERMIT FEE GAS PIPING FLOOR FURNACE Date Inspector GAS PIPING FEE FINAL 0Date Inspector PERMIT FEE AA, MISc �.� Date Inspector TOTAL FEE � MISC were Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS -REGISTERS - BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector N Q W Z 11095 LA PALOMA DRIVE LOT NO. NO. STR E.E.I' f� I FOR PLUMBING PERMIT GsI Y OP CUPERTINO D /APR 15 1966 Sanitary NO. Uate nt-H Y99�pT A1f� 1966 Permit No J / OJ / Ggly- afCU 4t1:}�k�ldX Pee $ 4.00 1 at is y Ie City of Cupertino for 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 _ DWELLING Owner CARL DRESEL D�OFIMASTER, INC. CONTRACTOR,AGENT Phone 379-5050 State License736781 Address 1150 DET T. AV F _ .r'AMPAFLL Approved PLUMBING INSPECTOR ater ns I UNITS I FEES II IUNITSI FEES I xture Boxes Sprinkler Valves I 1 II Water Sys. Fee I 1.00 RECORD OF INSPECTION Underground Rough Partial Rough Rough. Complete Alain Drain Final