51226ATS
TrWFOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. r...c If
Dote • - -wee19667ii—
plication is I„re by made for a permit to
•� a 4=:L. tory,Type
e +'
to be occupied only as
L-
in accordance with plot plan, Plans and. Specification filed herewith,
- Estimated Value of Improvements
e
FEE Plan Check E
• �.�
Owner ddrasa
Contr, w� A Addreas /
Phone
Approved ter/ •� ^�
APPLICATION FOR ELECTRICAL PERMIT
Data -13 1996 —71
Contr. e tt XIJzl-ul,
Phone __ 73
APPLICATION FOR
Data / 196 7/
Contr. - Ue�
�{
FEES
a5 -
Address it 7 D t!<'t -
State License Qg C)D Gg
Approvede A•�'/
PLUMBING & GAS PERMIT
GAS FEE E C/J J
PLUMBING FEE E 2if• S'6
Address
Phonei, 7 k
State License i 7 a a (Fi
Approved 7 /
APPLICATION FOR APPLIANCE PERMIT 2S
Date 196 71 FEES --
Contr, w Address
Phone - oy State Lice
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of Califomia
RECORD OF INSPE'CTIO1+ APPROVALS
KE7/IrN11/6 yVAl- AT W6sr
elvo Or t3�v6. yn-�j�LJ
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
p Q
UNDERFLOOR
FRAME
PARTIAL ROUGH
ROUGH COMPLETE 2-
-7/11
. s.m. i��i
8-7 —7
LATH & PLASTER
It
t?�R
r
G /-5 71
GRADING FINAL
FINAL PLBG. -ZO
FINAL BLDG..
`
r
UNDERGROUND
ROUGH WIRING_
FINISHED WIRING
FIXTURES
FINAL
ELECthICAL
DATE INSP OR • MISC.
PLUMBING, GASB APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE 2-
-7/11
. s.m. i��i
8-7 —7
Tn.• 71
MAIN DRAIN 3-3-7
t?�R
r
G /-5 71
FINAL PLBG. -ZO
y
II
FINAL GAS I
Hsu1C To
1.•N O -
FINAL APPLIANCE
M
MISC e.W. —1 /1
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... _....V' ......... ............. Building Permit No.
The Building Locat9d at ..... ..,C
Owned by ---
Has Been (9Egt�T?or
(Altered)
As: - ------------- ---- ----- -------