51216-BLDG 47/ a J'%d
i No.
;)L Z�
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to / 196
Application is hereby made for a permit to
a
to be occupied only as
`Lot No.
Sanitary No.
File - Na.`,-/ ;L/'�
story, Type
in accordance &(tth plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $
FEES 'Plan Check $
Owner Address
Contr._ .(address -SV/Phone J—
.:EJ —/dG 'WX State License
Approved
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
Date
1% FEES
Conir.
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 & PLASTER
GRADING FINAL_
FINAL BLDG._
UNDEF
ROUGI
FINISH
FIXTU
MOT 01
anyll
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
-
I 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
MF