NO PERMIT NUMBER Service Chge & A/C
11050 I Santa Teresa Dr.
Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. 51.037
Dote 6/26/73 19
Application is hereby made for a permit to
a story, Type
to he occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $
FEE$ 7.00 Plan Check $
Owner Prpnti np Address
Contr. Garbini Electric Address 10261 Imperial Ave.
Phone —. 292_59114 State License 224187
Approved E. Murphy/h
i
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Picone State License
- Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Cont,. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
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
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
11050 Santa Teresa Drive LOT No.
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
nd Cut OP CUPEP,TINO
Z CITY OF CUPERTINO
x ° JUN 5 1973
3 < Date 5131/73 M _ Permit No. S /0 3
Wu
r5 D Fee-$ -
'_' O Application is hereby made to the City of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
W = Code of the City of Cupertino, and all other laws applicable thereto.
F3Use of Premises Res.0
00
,' ; Owner C. Prentice Address • 11050 Santa Teresa Dr.
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o By ��/ �� Address, 779 Old County Rd. S.C.
CONTRACTOR,AGENT
3 `< 591-2605
— m Phour.
W Z
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a o /State License 110828 Approved
_U PLUMBING INSPECTOR
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No. Cr, O Street Lot No.
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JUt, 2u -�gj3 APPLICATIONFOR
OR ELECTRICAL PERMIT
CUPERTINO
Date_, (�-�� , IWj— Permit No.
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o '0Fee$ +
�+ Application is hereby made to the City of Cupertino for a permit to install lectrical wiring
Y U and/or fixtures as listed on the reverse side hereof, and agrees [ installs ' wiring and/or
o fixtures N actor 'th the provision t e Electrical Code the ty Cupertino,and
call other laws ap
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Use of Premises
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