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NO PERMIT NUMBER (4)i9elro No. 2A Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date 196 Application is hereby made for a permit to a to be occupied onlypa3 File No. J 11,7 Sanitary 'story, Type in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ FEES Owner �14,6�M �tlwwl`+ Contr. •� Phone Plan Check $ Address /404? ' �w SQL Address State License Approved APPLICATION FOR ELECTRICAL PERMIT Data 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date G 196 0/ GAS FEE $ PLUMBING FEE c 506 if 7 Contr. Address —70'/ 01(.'.&jLZ... -� Phone 23- d /:y f , State Licensee f"'JJ2-�d/!�-�1y`3_� 0 _�•�,� Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr. Address Phone State License -Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS I I MATERIAL TERIAL STORM DRAIN BUILDING L lammiTERIAL FOUNDATION Inspector e9 Inspector BLOWER FURNACES Date Inspector Inspector UNDERFLOOR SUSPENDED UNIT ROUGH COMPLETE MISC Date Inspector STORM DRAIN FEE Inspector FRAME GAS DRYER Date Inspector Data �� GAS PIPING Inspector LATH & PLASTER TOTAL FEE Data _ or GAS PIPING FEE Do to Inspector FINAL ns pecfor PERMIT FEE .2 a_ MISC Date a= Insoactor Inspector TOTAL FEE ELECTRICAL MISC SWITCHES RECEPTACLES FIXTURES H.P. CHARGE PERMIT FEE TOTAL FEES UNDERGROUND ROUGH WIRING FINISH WIRING FIXTURES Motors FINAL SERVIC^ SIZE Date Date Date Date Date I I MATERIAL TERIAL STORM DRAIN SIZE L lammiTERIAL Inspector Inspector e9 Inspector BLOWER FURNACES Ins pact or Inspector Inspector MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE Date Inspector, PLUMBING & GAS MAIN DRAIN SIZE I I MATERIAL TERIAL STORM DRAIN SIZE L lammiTERIAL UNDERGROUND I WATER SYSTEM SIZE FEE TERIAL UNITS TOTAL FIXTURES CIRCULATING HEATERS UNDERGROUND FIXTURE FEE e9 PARTIAL ROUGH BLOWER FURNACES Data Inspector MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE MISC Date Inspector STORM DRAIN FEE .MAIN DRAIN GAS DRYER Date Inspector WATER SYSTEM FEE �� GAS PIPING TOTAL FEE Data _ or GAS PIPING FEE FINAL Data ns pecfor PERMIT FEE .2 a_ MISC a= ote Inspector TOTAL FEE MISC 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 i n_._ 1 Ins oeetor 101i PLUMBING PERMIT I� AR 0 19 s � OF CUPERTINO / Sanitary No. Date 1064 Permit No —S CITY OF CUPERIINO Pee $ — Application is hereby made 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 and/or fixtures in Xe�nce with the provi ons of the Plumbing Code of the City of Cupertino, and alt other 'Nws applica^ ter to. Use of Premises State Lic��v � 15-t�-7 Approved PLUMBING INSPECEOH ✓ L Fo