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354 (2) 10441 I Las Ondas Y 30 LOT NO, NO. STREET / �.t 1W ;<JIOR BUILDING PERMIT l/!/ at o{ F CUPERTINO Date Yl OM 5 9 Permit No � Application is hereby madefora permit to construct a MY OkCtorP RD1N0SIJ Building at Pacifica Subdivision to be occupied only as a single family dwelling in accordance with Plans, Specifications and Plot-Plan filed herewith. u Estimated Value of Improvements,$ 12,000 Fee$ J;7 Oy y 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 "4 Cupertino will be complied with. v in Owner ED LAND CO. Address_132 Edith, Los Altos By Address Same CONTRACTOR, AGENT Phone WH 8-4479 Approved C-e A Bn1LING INSPECTOR__T �� Q U V U U U U d �o \_ P LUCL LL 0 W F' � z Q c� o W < M • z � x e e e c F z z z z w � «k - �\ , _ \ � - ( \ ) - \ \�\ � a ���/ g ■ @ ) rl : � • ® � � State License b W C O w w \ rt ^ T C z O ro. w .xw.n o z N � a w. � yy ^ N n m PC J H _ 2 am C�i1 Q m co � s < n— " aaz a. n SAAO bo d •O. O to n � y r• o N Ei H O Remarks (Check ✓) Type of Appliance I Units Fees II New Replace Relocate Gas Ranges Wall Heaters Gas Plates Circulating Heaters Blower Furnaces l �� Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit 1 II Floor Furnace I Miscellaneous I it NAME TYPE) �I pp lance Fees Ti 7I IIS Inspected and Approved ....... ._.:... DATE. INSPECTOR HOUSE GAS PIPING Number of Outlets Size of Main Gas Piping Fees —�_.— Tested and Approved ... /o.S.!... .....�...... ..... ........................... oATe INSPECTOR State Ucense A0 R }& @ \ § e a $ / � E ) 2 } 00 � § f § 9 . \ ( ! meq § § a > a ƒ } \ § A -- on. ! } g � ! k } \ { ! K \ ± ( , { / . Remarks (Check ✓) Type of Appliance I Units Fees II New I Replace I Relocate .,Gas Ranges Wall Heaters Gas Plates I Circulating Heaters I I II I Blower Furnaces II I I Gas Fired Boilers I II I Warming Ovens ' Percolators I I Griddles I I II I I Steam Tables - II Gravity Furnaces II —Suspended Unit I I II Floor Furnace Miscellaneous I I it I NAME TYPE) I it ili I it _ i I II I I pp lance Fees f Inspected and Approved ..............:...L.._._....................... - -- DATF INSPECTOR HOUSE GAS PIPING Number of Outlets I I Size of Main Eeste�an iping Fees I `✓) pp. l� ......,..d A roved ._.. .. . ... DATE INSPECTOR > 0 o z n ie sa o Ln LA O 0 m z 01 no