B-2016-1959From
CUPERTINO
05/23/2016 13:38 9183 P.001/001
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: , PERMIT #
OWNER'S NAME: PHONE #AoQ)-—1AzQa
GENERAL CONTRACTOR: BUSINESS LICENSE # O b
ADDRESS: Q •,bCo_C w� , CITY/ZIPCODE:
Our municipal coae requires au nusmessesiworking in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
✓
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation,
Landscaping
Lathing
Masonry
Painting / Wallpaper
i
Paving
I
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
,M nor Q
5 1
Tile
caner / Co or Signature
Date