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99100055 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILDING-ELECTRICAL PEKM BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL. 00001 DUILDINGPROJECTIDNMJ IPICATION AUDR&SS SANITARY NO. APPLICATION SUBMITTAL DATE NEIr9N �sA q! A PHONE: CONTRACTOR'S NAM 'L✓/ 'N,P )'2� NIC CONTROL# RCHITI:CT/li EER: LIC NO: A D C Yo v �� ❑ cONTpC PHONE: U BU ILUING PEHMI'1'INFO 5 ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH '17JCENS D CONTRACTORS DECLARATION ELECTRIC PERMIT FEE 1 hereby action that I an licensed under provisions of Chapter 9(commencing JOB DESCRIPTION �04Z with Section Man ofUivlslon 3 ofthe arsine..and Professions Code, mlicense is RESIDENTIAL: RIOp y / EMIT ISSUANCE 1-ly_ in roll tome aide 0 ❑SPDWL ❑KITCHEN REMODEL azW LicenseC ss Lo.# APPLIANCES-RESIDENTIAL ❑ADDITION [I PLUMBING RE-PIPE aca i Date enthrone L- (..5m ARCHITECTS DECLARATION PANELS ❑MUI.TI-UNIT ❑STRUCTURAL CZ y1 Z I undersmnd my plans shall be used ns public records MODIFICATION :1UPT02MAMPS [I INTERIOR ❑CHIMNEY REPAIR F LR W Licensed Prefessi...I 201-I000AMPS IMP EMENT El SWIMMING POOLS OWNER-BUILDER DECLARATION OVER TWO AMPS ❑B RI3MODEUREPAIR ❑DEMOLITION y tY Q I hereby Mo.that I.m exempt from the Contractor's License Law for the x O a V following reason.(Section 2031.5,Business and Profession Cale:Any city or countyR SIGNS ELECTRICAL. OI HER — �-Yq1 3 4.H which requires a permit to construct,alter,improve,demolish,or repair any structure a+`I 1" .yo; APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILDING-ELECTRICAL PEKM BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL. 00001 DUILDINGPROJECTIDNMJ IPICATION AUDR&SS SANITARY NO. APPLICATION SUBMITTAL DATE NEIr9N �sA q! A PHONE: CONTRACTOR'S NAM 'L✓/ 'N,P )'2� NIC CONTROL# RCHITI:CT/li EER: LIC NO: A D C Yo v �� ❑ cONTpC PHONE: U BU ILUING PEHMI'1'INFO 5 ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH '17JCENS D CONTRACTORS DECLARATION ELECTRIC PERMIT FEE 1 hereby action that I an licensed under provisions of Chapter 9(commencing JOB DESCRIPTION �04Z with Section Man ofUivlslon 3 ofthe arsine..and Professions Code, mlicense is RESIDENTIAL: RIOp y / EMIT ISSUANCE 1-ly_ in roll tome aide 0 ❑SPDWL ❑KITCHEN REMODEL azW LicenseC ss Lo.# APPLIANCES-RESIDENTIAL ❑ADDITION [I PLUMBING RE-PIPE aca i Date enthrone L- (..5m ARCHITECTS DECLARATION PANELS ❑MUI.TI-UNIT ❑STRUCTURAL CZ y1 Z I undersmnd my plans shall be used ns public records MODIFICATION :1UPT02MAMPS [I INTERIOR ❑CHIMNEY REPAIR F LR W Licensed Prefessi...I 201-I000AMPS IMP EMENT El SWIMMING POOLS OWNER-BUILDER DECLARATION OVER TWO AMPS ❑B RI3MODEUREPAIR ❑DEMOLITION y tY Q I hereby Mo.that I.m exempt from the Contractor's License Law for the x O a V following reason.(Section 2031.5,Business and Profession Cale:Any city or countyR SIGNS ELECTRICAL. OI HER — �-Yq1 3 4.H which requires a permit to construct,alter,improve,demolish,or repair any structure a+`I 1" .yo;