NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Data 196
Application is hereby made for a permit to
a story, pe
to be occupied only as
in accordant ith Plot Pl ans and Specificatio flled herewith,
Estimated Value of Improvements $
FEES Plan Check $
Owner '� ddress
Contr. Address
Phone 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 $ Jq•a /Ad
Contr. .- 7f/Iwn. -V6 40-1-e O.i(��'VAddres s J� � A �a -
Phone —� 11- �.rJy 0 /State License
Approved �f+s
APPLICATION FOR APPLIANC ERMIT
Data 196 FEE$ f�
Contr.(_ 9 t QAddross
J
Phone - l I --�S-v 0 Stu to Licensej,��pp W(.�d'L
Approved ,l
Applicants agree not to violate any of the .(L
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.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL-- lull
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS '
10 70
FINAL APPLIANCE
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DATE INSPECTOR MISC.
MISC dw /"26'7o ,
MISC
MISC
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
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Department
Job Located at .J .Q�...lrle .!�...Q. -------
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�( .Ut.ry ...Rtr--1.N �naNBI.lc
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You are hereby notified that no more.work shall be
done until the above violations are corrected. When
corrections have been made call the spegpr.
252.4505
Date: ...'�
City Telephone Inspector: .... r................
NOTICE 00- ADDITIONAL CHARGE
CITY Or CUPERTINO
DING INSPEC,70R*S OFFICE
Date ... .... ..........
rf 19-�? Permit No.
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Addre
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Reason ... ........OY, j- ---- --
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Amount$/.��... Signed ... . ... .................... ....—..................-............. ...........
106 3/59300
1 agree�1'wil(not violate any of the Workmen's
Compensation laws of the State of California
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