NO PERMIT NUMBER uc// 7 Lot No.
No. Street
APPLICATION FOR BUILDINGtPERM1T
CITY OF CUPERTINO
Sanitary No.
s, File No. s,/ 7S'
Date _ 196 *71
Application is hereby made for a permit to
story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Spec' ecation filed herewith„
Estimated Value of Improvements $
FEE$ 1743 Plan Check $
Owner _ R�'Vp (/✓ Address
Contr. Address
Phone ts25 �" �" 13 State License\^1 �J 'Jo 4L
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Cont,. Address
Phone State Liconse
Approved
Applicants agree not to violate any of the I t
Workman's Compensation Laws of the
State of California I
RECORD OF-INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
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 NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS .J`-�� 7/
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
I
MISC
MISC
V
GASSERVICE NOTICE OFFICCOPY''
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
7......... .... . V . ...lzp....... 191
ro .
You are hereby authorized to connect the GAS service for
ct
Owner or Tenant . ...4, 40. �J . ......... ....... .......
At -.4.11.757-... ..W-7.7..... Q i ...... ... ...........---....... .............
New Service ........—...............
No. of Meters ...................... Reconnect .........
Move Service ..............
No. of Add. Meters .... .... .... Move Meter ........—.. ............
PLUMBING INSPECTOR
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