512262ZS
No.
Street
Z„ C7— Lot No,
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.�
_ File No.®S
'yY(.
Date 196_
A kation is her by made for ¢permit to
�a _zbit —a
story, Type
to be occupied only as ( l
' in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 2I ��
FEE$ (.16t1b
Plan Check
Owner AddressC
Contr. _ �/IN...y.A Address _
I did% — n 6( L .-6 .S-0
Phone y
State Licem
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date �-(,3 196_ / I FEE$ -1,32-0
%��
Contr. �W2(� O/� ��.i� Address /174lw n / 12A S�
Phone 36-D-7yc> State License 20U oOn
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 7/ GAS FEE $ (/s.)
� yp�/ PLUMBING FEE $ o2ef, S�
Contr. a'�-+--A'�Address 011-y l'=%
Phone& %8
- � 9 � State License
Approved i l'
C APPLICTION FOR APPLIANCE PERMIT { 7 zs
Date ((JJ �� ��1% FEE$ �A
Contr. i���A R�p i 2?uw Cl Address
0—�•�`� $tote Licensee"rte
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH—
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 3-3-7
FINAL PLBG.�;-20 -
FINAL GAS -2 7p-71/
FINAL APPLIANCE S -
BUILDING
INSPECTO
ELECTRICAL
DATE lNSPECfbR
t O -
rJ
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
DATE
-3-/15-7,
MISC.
• i I ,
DATE
PAD FINAL
FOUNDATION
UNDERFLOOR
'!
FRAME
-
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH—
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 3-3-7
FINAL PLBG.�;-20 -
FINAL GAS -2 7p-71/
FINAL APPLIANCE S -
BUILDING
INSPECTO
ELECTRICAL
DATE lNSPECfbR
t O -
rJ
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
DATE
-3-/15-7,
MISC.
• i I ,
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...............97.ung .
The Building Lmk,4,.t ....
Owned by ......
--------------------------------------------------
% .....................
Has Been -C Use As: ..... ............
CL or W