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NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
- SANITARY NO
FILE NO. 51 028
DATE png 99 19—ZL
Application is hereby made for a permit to
install a story, type 19'x94'
to be occupied only as : nrtahl P p nnl
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS E 1 , 9nn
FEE S l 9 _ 00 PLAN CHECK S
OWNER —Rdward—Je'WBZbO ADDRESS
PHONE 957_094
PHONE
ADDRESS
LICENSE
APPROVED
BUILDING INSPECTION RECORD
DATE I INSPECTOR I I DATE I INSPECTOR
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS - INT. 8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
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ELECTRICAL INSPECTION REGORD
RESIDENTIAL DATE I INSPECTOR I COMMERCIAL DATE I INSPECTOR
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
DATE INSPECTOR
BACK FLOW REQUIRED
BACK FLOW INSTALLED
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
HEATING & A/C INSPECTION RECORD
DATE INSPECTOR
UNDERFLOOR S.M.
DUCTS & INSULATION
FLUES & COMB. AIR
CONDENSATE DRAINS
FINAL APPLIANCE
MISCELLANEOUS
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2066% 0#252ZL& 02 U�%
C'LOT NO. K3
NO. STREET (( VAL. CITYOFCUPERTINO CAP
a APPLICATION FOR BUILDING PERMIT l FEE 1.5�
w Z Building Per. No. J
Ma YX
Date_nf0 , 19.
O rtF C•).-• . Sanitary Per. No.
3 U Applicotionii hereby mad if$r a permit to N J T.¢ t c-
a, Structure
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ato be occupied only cis (;;P4 7' A. 4 o L in accordance with
Z , Plans, Specifications and Plot -Plan filed herewith.
r Estimated Value of Improvements, 3�
a PI Ck Fee S
O O It is hereby agreed that the requirements of the 'Cut Cupertino Building and Zoning Ordinances and all Fee $ /%Z
p a other laws applicable to the construction, location, and Total Fee $
z use of buildings within the City of Cu rfin ewill be
L z co lied with.
a+ Z OWNER PHONE ADDRESS
rc a
QF CONTI OR AGENTADDRE
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PHONE STATE LICENSE JYUILDING INSPECTOR `i
0'.
LOT NO.
•��,t CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
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FiV \.AW Permit No. /
Data P
'19— Fee $ rp cts
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, ' and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of ;; n Work To Be
Owner
•1
By
Contractor, Agent
.icease Approved C1�1-4+
Electrical Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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C[IN (l. i LOT NO.
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Com. _ CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
Date 1 , 19_ Fee s
l
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all,
other laws applicable thereto.
Use of /'1 Work To Be
By Address
Contractor, Agent
Phone /-
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY O THE WORKMEN'S
�V COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LOT Nf
NO ' STREV�3)`
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
F1 19Sanitary No.
Date AUGG] h7178 '119_ Pomit No.
Fie $
'Application i1 -s hAeby!mc a 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
avid/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto. -
Use of Work To Be
By I CoAddresContractor,Agent
Phone
State License Approved C2=" 0 /
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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