51075.11 (4) 1 0 G / 0 Lot No.
No. Street
_ CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
L
Fila No.11' 0 74,
Data / � 79 � /
A plication is hereby made for aa.p
ermit
to
a - - - story, T c
to be occupied only as1�
ZZ
in accordance with P Plart, Plans and Specification filed herewith„
d=
Estimated Value of Improvements $ /� 61 C) (J
11 // s
FEES - "7� - Pion Check $ 02 a o
Owner CC S--.�.� c",7 cA.J cess
Cont,. "Z '-0kddress o 5d",�.-.-cam, s c:.L .CP .rT
Phone �26 7State License 5 '2-S 7
e Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Cont,. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �L L 19 71 GAS FEE $ /3`'
PLUMBING FEE $ 'gym
Cont,. 7,/.,.._/. P l/ ' Address '7�0
Phone 3 '1"�--F 77 State License r�- 3l_ V
Approved
APPLICATION FOR APPLIANCE PERMIT XL
Date 19 FEES
Contr. Address
Phone i State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Califomia t
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. to
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS &APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH '7
PARTIAL ROUGH
ROUGHCOMPLETE +
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC