51226No.
Do to
Street
.9Y I .
Lot No. z
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
.�—�967.5:—
Js herebnmade for a permit to
to be occupied Wy as
File No.
n.
story, Yp T e
in accordance with plot Plan, Plans an/dh„
�Specification filed herewit
rEstimated Value of Improvements s � ( Uoo �O
FEES ` (00,0 Plan Check
—ILr t
Owner ddress
Contr. Address
3► q -1 lam, I L �z 4.s a
Phana tate License
Approved
r
APPLICATION FOR ELECTRICAL PERMIT
Vo as
Data —JI 796�� FEES _'O "—
Contr. yUAI al. Address W7,0417 &.V( SI/
Phone 73b—D7y0 State Licensa �2?00(08
Approved J2 A Z� /
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date L- 1967/ GAS FEE $ - l/ 3�
_ PLUMBING FEE $ ,2 -V
-ontr. \X%`- —._.e i Address L;2z:2J'_4
Phone 7, — t'o 9 d State License —/ Zen pa-0� C_
Approved
APPLICATION FOR APPLIANCE PERMIT
)ate S 7p96 ..,,7 ��, ,, n FEES 7
.ontr, E Address
'hone —, �3 7 / •3 State License
Ipplicants agree not to violate any of the
'orkman's Compensation Laws of the
'tate of California
Approved ��
PAD FINAL
FOUNDATION
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
UNDERGROUND ROU
ROUGH WIRING_
FINISHED WIRING —
FIXTURES
MOTORS
FINAL
RECORD OFINSPECTf9N APPROVALS
BUILDING
ATE INSPECTOR MISC.
_. . _ b - di
06
e
ELECTRICAL
INSPECTOR MISC.
0i`mm
lm
m1 whM
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH —
3
/6
ROUGH COMPLETE
MAIN DRAIN
-��
FINAL PLBG. _
r�p2
—? a
FINAL GAS
FINAL APPLIANCE
'
(m3 Ltpjat WitRvv/f.' f(o,); ry 4'R4 3-17-71 �.
�W.L 3 -(6-71 �.�.
DATE INSPECTOR
MIscSNLeT Mb
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ._LZ 7-'�--.` ............_... 19 .3 Building Permit No. tiz1 "LZ
�^
The Building Located/Z`C `.� 5 ..._X---- -•--;-•-
G , +w-
Owned by .:.-.-J- L, .... .S+•-----....... -
-�-. /�
Has Been For Use As:
....... .:...../ - - -- .......
(Altered)'
INSPECTOR
10414AM moil .: IA
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Q9 �IA IC �� (TION FOR PLUMBING PERMIT
VV (( t�1 1'1 to+�'�I�J� CITY OF CUPERTINO
�`,AN 1 2 147/ Sanitary No.
Lot No. L/
Dat:L�7 196_ Permit No. / 2 Z6
Fee 52 .50
Application is hereby made to the City of Cupertino for a permit to install plumbing pipes
and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures
in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other
laws applicable thereto.__
Use of
Contractor, Agent
Phone 3%f'- /'�y i
State License /_SLI
Approved
'y, Plumbing Inspector
Water Heater I / 14 II Size Y I I
Dish Washer
Material
Comb.Sink & Tray I 1 II To Curb I I
Floor Drain
Water Sys. Fee
Total