NO PERMIT NUMBER (2) Lot No.
No. Street
APPLICATION FOR BUILDING,PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.lrde:!0
Date. fi.L 196 70
Application is hereby made for a permit to
�
•
zll a - story, Ty e`T
.
In be occupied only as AL
in accordance with Plot Plan, Plans and Specification filed herewith.
Q
Estimated Value of Improvements $ dad
FEE$ — `y��" Plan Check $
55
Contr. Address
Phone 43 �i State License J
■
Approved �� � ■– --/i
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 - GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 196 FEES
Contr. Address
Phone State License
't •• ^';A'ppro'ved
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
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
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
DATE INSPECTOR MISC.
MISC
MISC
MISC
I OT NO.
NO. T
w ® >F R BUILDING PERMIT
r ° �9��I _mCUPERTINO
3a (AUG 12 Sanitary iso.
Unte 11YY Q(j�Fermit No.
0 TV (�F e or
r w App t' plryt is�Rtreb adrmit to
oa 0
z to a_ a story, pe /� Building
a w
to be occupied on with
a
0 o Plans, Specifications and Plot-Plan filed herewlt6Q PI Ck Fee tom___
Estimated Value of Improvements,$ 1Seyn� Fee$ a
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d 0 Cupertino,rill be Won e 2I
— 0 Own �� Address
W
W a By
o s �—
aru Phone _ Approve _
BUILDING
State Lice ns INSPECTOR