FILE 51107.1Lot No.
No. Street v
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
San ito ry
_ �/� File No. ��� 0 'P.�
Data `S 196 _� ..
Application is hereby made for a permit to
/ na story. TYPAL -f 1' fe' -tl fy*
to be occupied only as �Ji..�'X .-Vs
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
G Do �-
FEES Qr fHC Plan Check $
Owner /l A • Address
Contr. Address
Phone d z, State License
Approved �1 .
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
APPLICATION FOR ELECTRICAL PERMIT
Dote
196 FEES
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data
196 GAS FEE $
PLUMBING FEE $
Contr.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
196 FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PAD FINAL_
FOUNDATION _
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
UND'
ROU
FINI
FIX'
MOT
FIN,
RECORD OF INSPECTION APPROVALS
BUILDING
TE INSPECTOR MI
ELECTRICAL
DATE INSPECTOR MISC.
?RGROUND ROUGH
GH WIRING
iHED WIRING
'URES
ORS
kL-
BACK I'LUW Kty._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH_
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.