NO PERMIT NUMBER (3) /0 0 ' tL I /""rc r�i"r`�.ft/L�C l�x Lot No.
No. Street
CITY OF CUPERTINO o c
APPLICATION FOR BUILDING PERMIT
Sanitary No. {�
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File No.
Date 19 ,
Application is hereby made for a permit to
C � o story, Type
to be occupied only as 6
in accordance with Plot P1a , Plans and Specification filed herewith,
q Estimated Value of Improvements $
-?
FEES - /��, p Plan Check E
Owner �"�`-� Address
Contr. `J r� Address
Phone State License deelo
Approved —4 //� �`
APPLICATION FOR ELECTRICAL PERMIT
Dote �o 19 7 Z' FEES �-
Contr. l/'.L¢..__ I ( ' Address
Phone _ -3 State Liconse
Approved
APPLICATION FOR PLUMBING G S PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Contr. Address
Phone State.License
Approved
Applicants agree not to violate any of the
ll'orkman'.s Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPE O MISC.
PAD FINAL
FOUNDATION-
UNDERFLOOR -
FRAME
OUNDATIONUNDERFLOORFRAME
LATH & PLASTER
GRADING FINAL
+ s �
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE.
DATE INSPECTOR MISC.
MISC
MISC
MISC
No. SI've t Lot No.
CITY OF CUPER.TINO
APPLICATION FOR ELECTRICAL PERMIT
AU G 30 19 CITY OF CUPERTINO
Ike Dat 30 , l9pfz. Permit No. y�
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3 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
o 0 fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino,and
0 all other laws appli ble ereto. "
Use of P a1.�1ui000L..
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3 Own Addre
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o }3 Address
3 A ontractor,Agent
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th E Phone ectrical Inspector
State License
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w 2 GITY OF GUPERTgiO CITY OF CUPERTINO
yD AUG1912APPLICATION FOR BUILDING PERMIT
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Building Per.No. t/ /
Sanitary Per.No.
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�D Apphcatid Is hereby made for
,.,a� permit to -
o l- a_story. Type 6 rX - 4-4u Structure
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to be occupied only as - in accordance with
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a Plans, Specifications and Plot-Plan filed ewith. PI Ck Fee$
20 Estimated Value of Improvements, $ Elr) Fee$
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p a Total Fee$
Z J It is herebyagreed that the requirements of the Cupertino Building and Zoning Ordinances
j o and all other laws applicable to the construction, location, and use of buildings within
3 a the Ci f Cupertino i� be complied with.
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w rc CRY OF CUPERRNO CITY OF CUPERTINO
S a F E B 2 9 i9t7+Z APPLICATION FOP. ELECTRICAL PERMIT
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n , PDA � � �� 19,�y Permit No. _
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a Fee Sk r
a Application is hereby made to the City of Cupertino for a permit to install electrical
r wiring and 'or fixtures as listed on the reverse side hereof, and agrees to install said
0jwiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws applicable thereto.
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Use of Premises /r'l��G'/— ���%%/!J•��
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3 < Owner y�ZL �s/L CPO Address
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aCONTRACTOR, AGENT o Approve
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It1`N\I/ State License
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