51226r
No. Street
Lot No.
APPLICAItWN FUgogUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 'l3
�^ File No.r l �vb_
1\
Dote
li cation. is her made fora permit to ..—
story Type l e
to be octopi d only as
in accordance with Plot Plan, Plans and Speciation filed herewith.
stimated Value of Improvements E
FEE$MMEM66 Xd PlanChec pp
Owner 'rress V
Contr. Address
Phone 3 ZG - '�i L t Le -� � ' rata License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data r ,,'�r-ee 196 7/ FEES
Contr. /'�`'^-^y' c-l.r.-�__ci Address //7 0
Irl
Phone - 7 ` _ 0-7)6,) State License
(o�a'y D E Oa
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date /a- 196 7— GAS FEE E <'i'f --%
PLUMBING FEE E / ate• 4�
Cont,. _ � Address `�
.3%�- 9a i � --
Phone State License � �
Approved'-�`'""-"�+
('
HQ 190
ATION FOR APPLIANCE PERMI�
Date 196 FEEE y 50, /
Contr. �
2 Address J0 JJ, l] I
Phonel +S'Z S L
'. Sidte License
Approved
Applicantsngree not to violate any of dee U
Wrnkman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
colo. qw
DATE
PAD FINAL
FOUNDATION_$
UNDERFLOOR =L
FRAME �� Z
LATH & PLASTER_
GRADING FINAL
FINAL BLDG.
DATE
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
A an
�•
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH_
PARTIAL ROUGH 171
ROUGH COMPLETEZ_T
MAIN DRAIN
FINAL PLBG.
FINAL GAS -I(0 7
FINAL APPLIANCE
BUILDING
INSPECTOR MISC.
U. F. J-6-71
0
:LfCTRICAL
N vC.1 t . k k of I
IECTOR MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
INSPECT
7lil—
CERTIFICATE-; OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... 5/17 (. �
... ................. ;.., 19... -7.3. Building Permit No . .....................
The Building Located at...Z�'6S-1 . .....
....... ...
Ownedby . ... ...... �14 . ... . .. .......... : .............. ...... .............. ............
Has Been T:!J:=s�/For Use As: ..... . ........'Jam......'................. ................
(Altered)