51216, C-55Alf To 1 h •
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 796
Application is hereby made for o permit to
to be occupied only as
(f - J -J --
Lot No.
Sanitary No.
File No. •1—/ lIA
story, Type
in accordancoKith Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEES Plan Check $
Owner Address
Contr.✓ee�� Address FV/ 42, +� P!
Phone Or a $e Stote License j
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date
196 FEE$
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote
196 GAS FEE $
PLUMBING FEE $
Contr.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
196 FEE$
Contr.
Address
Phone
State License
Approved
Applicants agree not
to violate any of the
Workman's Compensation Laws of the
State of California
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER_
GRADING FINAL
FINAL BLDG. X30
UNDEF
ROUGI
FINISH
FIXTU
MOT 01
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
E.
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
WIRING
ED WIRING
RES
S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL G
AL APPLIANCE
C rA f- Fb;LT . Es S
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .. .7..a-.-...�v............. t9--'-------- Building Permit No...� / 2 16
..........
The Building Locffated at../P.,K7P .... _---_—
...�1.......................
......
Owned by ------ :C11 :nl...... N_S:r.....CO.
(Completed)
Has Been (w For Use As: ....
.........�A'�.Pp2T
BUILDING INSPECTOR