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NO PERMIT NUMBER Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO / File No. / ✓/ Sanitary No. Date 196 pplic tion r y made f t o stogy, Type to be occupier un a in accordance with p t plan, Plans and Specification filed herewith., Estimated Value of Improvements $ FEE$ - _ '- ,, Plan Check f t Owner �.�t /�/�/ Address ���� r�I Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr, Address Phone State License ® pp 99���;0004 Approved IPPHUIt1 R B I N G & GAS PERMIT Data 196 VI t 1 Ur CUPE..,�.K0 . S FEE f �~ oft- -4v" //� � � u�rJ�t���� ������ PLUMBINDee t4n� G FEE x Iss Phone • �� J i State License i 3• �r Approved WILLIAM D. ©ENEVICH APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. - Address Phone State License Approved Applicants agree not to violate any of the Workmen's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION BUILDING ' Date Inspector UNDERFLOOR Dote Inspector FRAME Date Ins pe ctor' LATH & PLASTER FINAL Date Inspector - Data Ins cc ctor ELECTRICAL ,OUTLETS SERVIC2 SIZE SWITCHES UNDERGROUND RECEPTACLES ROUGH WIRING Date Inspector FIXTURES FINISH WIRING Date Inspector H.P. CHARGE FIXTURES Date Inspector Date Inspector PERMIT FEE Motors TOTAL FEES FINAL Date Inspector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I I MATERIAL STORM DRAIN SIZE I LIL4TERIAL WATER SYSTEM SIZE 11TERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Data Inspector STORM DRAIN FEE MAIN DRAIN WATER SYSTEM FEE GAS PIPING Date Inspector Date Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE •� MISC Date Ins pastor TOTAL FEE � � MISC Date Inspector 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 Date Ins pa ctor