FILE 51177.1No. Street
Lot No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196 % /-
Sanitary No.
File No.
Application is hereby made for a permit to
a orstory. Type
to be occupied only as /¢ape 1 (� Z– - (7 ��
FEES
in accordance Kith Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
ry
Owner —`�
Contr. 6.4.
y,3oC)
Plan Check $
Address
Address
Phone - tpt. 9'F — D % J : State License ='(r 3 5-� L
Approved
L–
Date
APPLICATION FOR ELECTRICAL PERMIT
FEES
Contr. Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $ j 'c
PLUMBING FEE $
Contr. t �/ ✓ Address '" 4,,'h+ A& C -
Phone a e024 4lc State License ,r�//'Q6.�QB�`j � 0 -
Approved ^,tJ.�,
APPLICATION FOR APPLIANCE PERM
Data A 196 !T_ FEES i�
C ontr. Address
Phone idtr% – CO2 J?u State Licr
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. -
UNDEF
ROUGE
FINISH
FIXTU
MOT OI
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
TE INSPECTOR MI
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
WIRING
ED WIRING
RES
S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
INSPECTOR MISC
MI