51117 r
ylujwdoo Al Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
-File No
Do to (/ Zd 196 6
SHowt7L O NLI
Application is hereby made for a permit to
to he occupied only as
'Zt.,-PtiJ story, Type
in accordance with plot plan, Plans and Spec' ication filed herewith.,
%
Estimated Value of Improvements § o2s7
FEES �' Plan Check E
Owner Address
Contr. Addrass 2 7 }
Phone "'7 �4 State License
Approved Alzl i
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES'
Contr. Address
Phone State License
" _Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE E
PLUMBING FEE E
Contr. Address
Phone - State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEEE
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the,
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR Qk'' O - O -
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FI
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGR OUN RROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FIN APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
i
I
/ 40 Z e. S
No. �cmg�Street Lot No.
ICATION FOR BUILDING PERMIT
City of Cupe o
Sanitary No.
c J to /��'2 . l Permit
E pp cation is�hereby made for a permit
0 'o '{a Building
Or �
1 to Pi y as � in accordance with
0
° :% Plans,Specifications and Plot-Plan filed herewith PI Ck Fee
� Estimated Value of Improvements,5�„Z/�/) �' � Fee S 3 �
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
'>
all other laws applicable to the construction, location, and use of buildings within the City of
GJ� Cupertino Wil a complied with.
c
16-12Owner Address
3 'W
u v By
th E Phone Approved
o
U State icense Inspector