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51226Lot No. No. APk4GAAON FOR'BUILDING PERMIT `J CITY OF CUPERTINO Sanitary No. File Nzr �y, Date 79 APADation isihereby ad'f r a.. permit to 7>1.4W60a story, Type �^ 174 to be occupied only as —OPIN i. % t in accordance with plot plan, Plans and, Specification filed herewith, $ Zl000 Plan Address State 6 Approved APPLICATION FOR ELECTRICAL PERMIT Date ' "� l n 196 -7/� Contr. Y ?Q00 zt . Phone- -7-�b—Q%LIQ APPLICATION FOR Date vZ 196 -? Cont, FEE$ I eg Address 117D Lbw 1p& z� S// State License 62�--Zoe) b2�3 t Approved PLUMBING & GAS PERMIT GAS FEE E PLUMBING FEE $ - a --Z' Address _C:50-% d"t' c. - Phone 9d/ Estimated Value of Improvements FEES Owner � e Contr. Do to_( I � 196 -H at -7 L i Phone b $ Zl000 Plan Address State 6 Approved APPLICATION FOR ELECTRICAL PERMIT Date ' "� l n 196 -7/� Contr. Y ?Q00 zt . Phone- -7-�b—Q%LIQ APPLICATION FOR Date vZ 196 -? Cont, FEE$ I eg Address 117D Lbw 1p& z� S// State License 62�--Zoe) b2�3 t Approved PLUMBING & GAS PERMIT GAS FEE E PLUMBING FEE $ - a --Z' Address _C:50-% d"t' c. - Phone 9d/ State License / 7't`1 -e/ Approved APPLICATION FOR APPLIANCE PERMIT Do to_( I � 196 -H 1 zS /�_p o I :onir, [ �i:B'G 3 aD pj j C.,-- Address 13 0 Phone 3'7$—D45y Z 52 2 State License O o Approved 9pplicants agree not to violate any of the - Vorkman's Compensation laws of the ;tate of California RECORD OF INSPECTION APPROVALS - BUILDING DATE INSPECTO PAD FINAL FOUNDATION 30 UNDERFLOOR FRAME LATH & PLASTER GRADING FINAL FINAL BLDG. �O �X UNDERGROU~ ROUGH WIRING_ FINISHED WIRING FIXTURES MOTORS- FINAL- DATE OTORSFINAL DATE ---7_ S -CI t _-' ELECTRICAL U� INSO//CTOR m PLUMBING, GAS & APPLIANCE DATE INSPECTOR BACK FLOW REQ. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN •� FINAL PLBG. FINAL GAS FINAL APPLIANCE 5- S - BJ MISC. �1 MISC. CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ........F-0........ iq-2.-.�L n Budding Permit No. The Building ID03tedlat Owned by ... :.54j. Has Been�"'7 d Use As: