FILE NO 807 19 9 zr Lot No.
No. f ^ Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. �/yp
—7 � File No.
Date 19
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot Plan, Pians annd1 Specification filed herewith.
Estimated Value of Improvements $ '/3 O O
yw_
FEE$ / Plan Check $
Owner l� 0' ' D � Address � 7 � 7"�V
Contr. // Address
Phone (0�5M 9es1—/ O State Licens
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Carat. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Cont, Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
Carat. Address
Phone State Licenio
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION 1
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
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
�9 j�9f //:2",FS72F.40 LOT NO.
N NO. STREET
Z a carr 0* c..r=art10 CITY OF CUPERTINO
W¢ WATER DEPT. O 9
VO APPLICATION FOR BUILDING PERMIT
oj i 4 1972
3 Q 1n'� J / Building Per. No.
w U Date /� , 19 7 Sanitary Per.No.
o ApplicatipA is he y made for a permit to jL'tIGc SlrAIS
LL
O- a L story, Type 5'%�FL Structure
>
aF
m to be occupied only asS�r�i/'F ST/-1-'noA/ in accordance with
W
aF Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$
0
_o o Estimated Value of Improvements,$ /foo 0-- Fee$
Total Fee$ 7
r3
oa
It ishereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
N ?
wW Owner ,/gyp Address �• (30X 730 ,f.J• `l} /06
QO By ^`/ - 7- i(.G — Address `SAH
_ C ntr. or Agent.
Phone (n �`� 93/O APprov� gI ' /
State LiceLicenseBuilding Inspector l/