51189 - CARPORT #14�Gf►uN01�y �'ooM#2
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. �_11�
Date 19
Application is hereby made for a permit to -
a story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Owner ajtt� Address
Contr. Q Address
Phone / G ��State License
Ax -i
_ 77 t_ 7 Approved
APPLICATION FOR ELECTRICAL PERMIT
196 FEE$
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
_196 GAS FEE$
PLUMBING FEE $
Address
State License
Approved _
APPLICATION FOR APPLIANCE PERMIT
1% FEE$
Address
State License
Approved'
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Califnrnia
RECORD OF INSPECTION APPROVALS
LAur►pR4 Foots FRlime: 7 -1 -To g.y
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME ON -
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL/
DATE INSPECTO4 MISC.
UNDERGROUND ROUGH
ROUGH WIRING ` O
FINISHED WIRING
FIXTURES
MOTORS lool
I.AUNokl ROOM
SA,N ITARY gNo..Q_
U NDER GROUN Di20U
PARTIAL ROUGH _
W NSTL7 a"Lq —
ROUGH COMPLETE_
MAIN DRAIN
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
FINAL GAS 7E�
FINAL APPLIANCE
Mist
MISC
DATE INSPECTOR MISC