File 293/ /.z s i (%'t� 4" Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO Q i�
File No. .�_
Sanitary No.
Date 196l�
Application is hereby made for a permit to
ssses
a story Type
to be occupied only as r N
in accordJrce with Plot Plan, Plans and Spe icatLon iLed h
GEstimated Value of Improvements $
'S 0 1O
FEES V _ Plan Check
(i ress $$
Owner �
F
Contr. 14 9
A ANw,, A
Phone J %P°
77-0' State License
Approved
Date .
Contr.
Phone
Date
Contr.
Phone
Do to
Cont,.
Phone
APPLICATION FOR ELECTRICAL PERMIT
196 FEES
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
196 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation laws) of the
State of California
1
j
RECORD OF INSPECTION APPROVALS
SERVICE SIZE
BUILDING
FOUNDATION
UNITS
FEE
SWITCHES
Date
Dote
UNDERFLOOR
Inspector
ROUGH WIRING
FIXTURES
Date
WATER SYSTEM
FRAME
Dare
IATERIAL
PERMIT FEE
Da
TOTAL FIXTURES
LATH & PLASTER
UNDERGROUND
Date
D re
'
FINAL
PARTIAL ROUGH
Dare Inspector
PLUMBING & GAS
MAIN DRAIN
SERVICE SIZE
I
,OUTLETS
UNITS
FEE
SWITCHES
STORM DRAIN
Dote
RECEPTACLES
Inspector
ROUGH WIRING
FIXTURES
WATER SYSTEM
H.P. CHARGE
Dare
IATERIAL
PERMIT FEE
FINISH WIRING
TOTAL FIXTURES
TOTAL FEES
UNDERGROUND
Dare Inspector
PLUMBING & GAS
MAIN DRAIN
SERVICE SIZE
I
UNDERGROUND
UNITS
FEE
CIRCULATING HEATERS
STORM DRAIN
Dote
REGISTERS
Inspector
ROUGH WIRING
BLOWER FURNACES
WATER SYSTEM
SIZE
Dare
IATERIAL
Inspector
FINISH WIRING
TOTAL FIXTURES
MISC
UNDERGROUND
Date
Inspector
FIXTURES
PARTIAL ROUGH
GAS DRYER
Date
PERMIT FEE
Inspector
Motors
Date
Inspector
STORM DRAIN FEE
Date
MAIN DRAIN
Inspector_
FINAL
WATER SYSTEM FEE
Dare Inspector
PLUMBING & GAS
MAIN DRAIN
I SIZE I
I
MATERIAL
UNITS
FEE
CIRCULATING HEATERS
STORM DRAIN
I SIZE I
REGISTERS
L,16TERIAL
BLOWER FURNACES
WATER SYSTEM
SIZE
IATERIAL
SUSPENDED UNIT
TOTAL FIXTURES
MISC
UNDERGROUND
GAS RANGE
FIXTURE FEE
MISC
PARTIAL ROUGH
GAS DRYER
MAIN DRAIN FEE
PERMIT FEE
ROUGH COMPLETE
Date
Inspector
STORM DRAIN FEE
MAIN DRAIN
Date
Inspector
WATER SYSTEM FEE
GAS PIPING
Date
Inspector
GAS PIPING FEE
FINAL
Dote
Inspector
PERMIT FEE
MISC
Date
Inspector
-
TOTAL FEE
MISC
Date
Inspector
- vma mspa met
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
s �, Inspector _
Str!eee�t i Lot No.
i;
FEB - 7 1969 APPLICATION FOR BUILDING PERMIT
City of Cupertino
_ Sanitary No.
Date 2 _
rAi�\/ r�Y 11lY I .1 � Permit No.__
3Application �. is 'hereby made for a permit to Jiv f7i9l.0 .4!'�'i y /G3VS
a / story, Type n�%3.C�5 �F/ i y'
��snP Building
oto be occupied only as in accordance with
° := Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
m
sEstimated Value of Improvements, $ /0� 77 Fee $ •3 6 G 6
i
6 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
G A Cupertino will be complied with.
.3 .°- Owner f`�r��,gtf�j- Z!�27OP Address
m
By ' C Add re
d c
o Phone
U Appro e
State License R_ �i`S� ;.( mg Inspector
- 1\