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51145 LOT NO. NO. AEET F2kjPk1CATION FOR GAS PERMIT w = ® t K C OF CUPERTINO R r ° /APR 22 jg 0 , Date 96— Permit No, U W LL I� �� Fera O %Tliclrns I�! (ta �t e City of Cupertino for a permit to install gas pipes 'o i and/or gas appliances4�s�tl�tfo�n' � reverse side hereof, and agrees to install said pipes iin and/or appliances in accordance with the provisions of the Plumbing Code of the City a W of Cupertino, and all other laws ap licable thereto. a ~ Use of Premises 00 3 Owner Address oa zJ z By Address CONTRACTOR,AGENT 3 Phone `/— y5 �/� Q'" —L k, W W X i State License © d Approved u PLUMBING INSPECTOR Remarks (Check ✓) Type of Appliance Units Fees New Replace Relocate Gas Ranges Wall Heaters Gas Plates _ Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous NAME TYPE) HOUSE GAS PIPING Number of Outlets Size of Main Gas Piping Fees Tested and Approved _...---....._...._. _______...__.._._...... ....... DATE INSPECTOR 0/V/z I LOT No. NO. EEi' �`ARLI [ON FOR PLUMBING PERMIT w a C;S=C '%Z Ll�jOP CUPERTINOSanitar No,/APR 22 1966Y o Date 96— Permit No w U �/ (� Pee $ o Qpp if-ati0FS I(g'L})ERTt81f)e City of Cupertino for a permit to install plumbing o r pipes and/or fixtures listed onith reverse side hereof, and agrees to install said prices �`- and/or fixtures in accordant• the I visions of the Plumbing Code of the City of a w Cupertino, and all other la a)plicable t wx � r a4 Use o raises _oo > N 3 Owne Address zJ zBy Address S O CONTRACTOR, AGENT � p 3 `m Phone 3 w 2 w w E State License—V? yam 7 Approved a o —U PLUMBING INSPECTOR P- FIXTURES D UNITS FEES ff UNRS FEES Water Heate Size ly Water Closets Material C, Bath Tubs To Curb Showers To Prop. Line Lavatories 3 To Existing Kitchen Sinks Not Conn. Dish Washers Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Com . Sink v Trays To Curb Dental Units Drinking Fountains Moor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material Lr San Traps TOTAL FEES Urinals Fixture Fee Area Drains Main Drain Pee Nater Leaders Storm Drain Fee �prinkjer Valves Water Sys. F[[ VIV Permit Fee TOTALJOS TOTAL FEE RECORDVOT INSPECTION Underground Rough Partial Rnugh Roughh Complet[ Main Drain Final N Q W z t y COT NO. NO.79 �:iA wPPI:IC� �!(1O,�N FOR PLUMBING PERMIT VAUG 26 1966 AL Et(E,1TY OF CUPFRTINO bid C TINO L � 196 anitarV I O. Permit No .3S— Fee 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 aft other laws applicable thereto. I By Address CONTRACTOR, AGENT dStatPhone>OJ S3 - ii $-d- State e License Approved I jy PLUMBING INSPECTOR ✓ FEES I Sewer Boxes Valves a• - RECORD OF INSPECTION Underground Rough Partial Rough Rough. Complete Main Drain Final 161W I OT NO. NO. 5 EET w 1 JN FOR. BUILDING PERMIT g OF CUPFRTINO 6C Sanitarc No. s a FL /S/� U U Uate 1%6 Permit No. = o r LL r �p h rn ' a permit to ��Fs✓— 'z in a story,Type T ' 3aT Building a w ito be occupied only as si✓ Z� in accordance with , 0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee F "; Estimated Value of Improvements, $ PGO Fee$ i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and Z all other laws applicable to the construction, location, and use of buildings within the City of O Cupertino will be complied with. 3 � _ m Ownetl� .C//.� �' F Address a n By Qu Address - /tea e5 a Phon 1S3—G�GIO Approved WILLIAM D. CiENEVICH State Licens BUILDING INSPECTOR / V I� Lot No. No. Str et APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Sanitary No. Date 196 ppl cation 4&.A~by made r a permiC'[fl"'� �n•/W i/ st Type to be occupied only as in accordance with plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ FEES Plan Check E Owner 90 N i Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved G APPLICATION FOR PLUMBING & GAS PERMIT Dote196 v GAS FEE $ PLUMBING FEE $ C ontr. q�rISA � Address Phone S-4r State License Approved APPLICATION FOR APPLIANCE PERMIT AXL Date 1% 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 FOUNDATION BUILDING Date "Inspector � � - UNDERFLOOR Date FRAME Inspector Date Inspector LATH 8 PLASTER Date Inspector FINAL Date Insoector ELECTRICAL ,OUTLETS .. SERVICE SIZE SWITCHES UNDERGROUND RECEPTACLES ROUGH WIRING Date Inspector Date Inspector FIXTURES FINISH WIRING Date Inspector H.P. CHARGE FIXTURES PERMIT FEE Date Inspector Motors Date Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE1-- TERIAL TOTAL FIXTURES OQ UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MA1 DRAIN -E ROUGH COMPLETE Date Inspector ST El MAIN DRAIN Date Inspector WAT YSTE fAh ~ GAS PIPING Date Inspector GAS PIPING FEE.trry - FINAL A Date Inspector PERMIT FEE MISC - AL FEEMISC' Date Inspector TOT ' Date 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 Data Inspector