NO PERMIT NUMBER (3)20394 Town Center Lane l
NO. STREET •^ - •'• - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY
FILE NO. 51 027.7
DATE Nov. 27 19— IL
Application is hereby made for a permit to
Const bt a l story, type
to be occupied only as nitrous shed
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS .$ T n88- 0n
FEE $ 11. 00 PLAN CHECK $
OWNER Clipertinn Tnu renter ADDRESS
PHONEP55—ri(nl n
.•PiZaw1r AB• -• -.B .sa- 'Do• L
PHONE FL STATE LICENSE RPAI hRFi
APPROVED
BUILDING INSPECTION RECORD
DATE I INSPECTOR I I DATE I INSPECTOR
FOUNDATION
rnt-I IJNI I t FRAME
BOND BEAMS LATH
FIREWALLS
LANDSCAPING
F.M.O. INSPECI
-MISC-
MOORE BUSINESS FORMS INC., L.
INT. 8 EXT.
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE I INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS
PLUMBING INSPECTION RECORD
DATE I INSPECTOR
BACK FLOW REQUIRED
BACK FLOW INSTALLED
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
HEATING & A/C INSPECTION RECORD
DATE INSPECTOR
UNDERFLOOR S.M.
DUCTS & INSULATION
FLUES & COMB. AIR
CONDENSATE DRAINS
FINAL APPLIANCE
MISCELLANEOUS
LOT NO.
NO. STREET 5G/
r/ 'CITTY'.OF'C'UbPERTINO
Co or, �APLICATION FOR ELECTRICAL PERMIT
1yQy 3 � 19?g
Permit No.
Date~I Iq Fees Sitio
J
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiringand/or fixtures in accordance with the provisions of the Electrical Code of the
City.of Cupertino, and all other laws applicable thereto.
Useof Work To Be
Premises /1 Perfor-med !/
Owner T J N CE,L17 R AS SKdSinsu
Phone
BY, //S—�,CL�! Address
yA�((Contractor,
Agent
'Phone
State License 2,Z��,�i0?, Approved
Electrical Inspector
I AGREE I WILL NOT VIOLATE ANY O THE WORKMEN'S
�d COMPENSATION CAWS OF THE STATE. OF CALIFORNIA.
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