51189 - SIGN/0/0 0
No.
Date
Street v
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
—196
Application is hereby made for a permit to
a
to be occupied only as
Sanitary No.
File No.j/1
story, Type
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ - Plan Check $
w
Onn-
er L/s/�/ 44 Address
Confr, �1 p Address
Phone '9 �' 3 a4 State License
Approved A�
Tiff
Date
Contr
Phone
Date
Contr.
Phone
Do to
Con tr.
Phone
APPLICATION FOR ELECTRICAL PERMIT
196 FEES
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
196 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Address
State License'
Approved"
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State, of California rt'
PAD FINAL
FOUNDATION_
UNDERFLOOR
FRAME
LATH S PLASTER
GRADING FINAL_
FINAL BLDG. -
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROU H
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
SANITARY NO. _
UNDERGROUND RO
PARTIAL ROUGH_
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
FINAL APPLIANCE
PECTOR