NO PERMIT NUMBER (3)Lot No.
No. Street 0 U
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
�ile No.
Do to � 196 .�_
to 6epccupied only as
tir arcorua ar;e wttn rtot mart, mans ana ,pecipration lttea nerewttn,
Estimated Value of Improvements $
FEES Plan Check $
Owner 2LXZ A. �QL;4a;CAddress
Contr. Address
Phone �(-�J -y� / State License
Approved ' )
v
Contr.
Phone
Do to
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEE$
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State. of California ,
APPLICATION FOR ELECTRICAL PERMIT
Data
196 FEE$
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
196 GAS FEE $
PLUMBING FEE $
Contr.
Phone
Do to
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEE$
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State. of California ,
PAD FINAL
FOUNDATION
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.—
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO
ELECTRI
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rAki
DATE INSP /Z''/ V MISC.
IMIN MIA
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FIXTURES klffi��=Ibmli Mr
MOTORS M' ql� .1��1W4N
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
ATE
MI