NO PERMIT NUMBER (69)A)4P7o
No.
Street V
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dote 196
Application is hereby made for a permit to
a
to be occupied only as O—A� e
Lat No: C 3
Sanitary No.
File
story, Type
in accordance with Plot plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ Plan Check $
0
Owner Address n
Contr. _LTJ /� �� =t: • Address �� (�-�."°'�"^e–wr.+✓aT
Phone O iL State License
Approved
Date
Contr.
Phone
Date
Contr.
Phone
Do to
Cont,.
Phone
APPLICATION FOR ELECTRICAL PERMIT
196 FEES
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
196 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Address
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
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
UNDEF
ROUGI
FINISF
FIXTU
MOT OI
FINAL
ELECTRICAL
DATE INSPECTOR MISC.
.GROUND ROUGH
-
I WIRING
ED WIRING
RES
IS
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
MI