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51226No. Street APF CI Do to_ ('111967 0 i Lot No. FOR BUILDING PERMIT v OF CUPERTINO Sanitary No. File No. C ( 1 -LA. A p cation is. ere 6y a for a permit. to Z to he occupied only as story, Type in accordance with plot plan, Plans and Spe ' kation filed herewith. -- Estimated Value of Improvements § aL000 FEES ® "ss pla"Ch C Chac Owr,ei Conti.. d0..+4r.ed"� Address 3'1 q Phone - 1 b k to $iota Cic onse Approved Approved Applicants agree not to violate any of the.. Workman's Compensation Laws of the Slate of California - APPLICATION FOR ELECTRICAL PERMIT 5P Date 119f6-9 FEES --I Conti, iZD1C, Conti. / t' yDf l,� Address r l 7O��1 Phone 7�n- i�� �i C� State License `-7 -Z OO 6� Approved � /a�TT/ APPLICATION FOR PLUMBING & GAS PERMIIT Dote 196 GAS FEE $ PLUMBING FEE $ - c. �• �(� Contr. bzl-� Address -29 &e Phone -iF7 e -w State License / 7.� -)-d-1PP \j�I Approved - a APPLI ATION FOR APPLIANCE�ERMIT,1 1 ' Date 1—L=l_ 196 FEES Conti. Address 3D S cU„ Phone n 2��/ _ —©4 5' ci,.te t :...... Z `J `z $Z� Approved Applicants agree not to violate any of the.. Workman's Compensation Laws of the Slate of California - RECORD OFINSPECrION APPROVALS GA0. BUILDING DATE INSPECTO PAD FINAL FOUNDATION UNDERFLOOR FRAME f LATH & PLASTER_ GRADING FINAL_ FINAL BLDG. ELE RICAL C� 1 INS TOR PLUMBING, GAS & APPLIANCE DATE INSPECTOR UNDERGROUND RO ROUGH WIRING FINISHED WIRING FIXTURES SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH MOTORS FINAL MAIN DRAIN 3 FINAL PLBG. 9 -% BACK FLOW REO. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN 3 FINAL PLBG. 9 -% FINAL GAS -3-71 FINAL APPLIANCE5- 7/4 MISC MISC MISC MISC. 7/ MISC. CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE MY OF CUPERTINO Date ........... /q .. . ... Y ... ............. Building Pennit No. J�F-7-& The Building Located at Owned by ..... . ............................................ .... - ................ Has Been eted . .... or Use As: ....... 5 -in ve . ......... ......... .............