51226No. Street
Lot No.
APPLICktft FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.���r� L
//�File Na, �'tilb
Da to � 196/N.4-1
is hereby made for a permit to
to he occupied only as
story, Type W� I • J
in accordance with Plot Plan, Plans' Iand Specification filed herewith,
Estimated Value of Improvements f
�y- X0000
FEEf
Owner cw-
Contr. �IMA0!
Phone 116, - 11. b
Plan Ch §
Address
Stat6
License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote f -t''3 19961 -71 FEES
Contr. fl,CYU l'i/ji C e UZ_. Address
Phone �J/�-0%"ID State License -Loo &9
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 Z� GAS FEEf
PLUMBING FEE §o(T. J -D
Confr.7 Address �9CfT `-a_ c.
Phone —�7 %'f� State License 7a -2,/
Approved t
DateAPPLI ATION FOR APPLIANCE P MIT
196 1 FEE§ f 7. -
conn.
,91119oL //LOAGQ (20-
Address f 30
50 v'QJ.
Phone
- % �i' E%9 34
Stare License
2 282
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF'INSPECTION APPROVALS
BUILDING
PLUMBING, GAS & APPLIANCE
DATE
DATE
INSPECTOR MISC.
PAD FINAL
SANITARY NO.
MISC
FOUNDATION
Z -IO
?a
Qm} e
UNDERFLOOR
FRAME
sZ
J '16
71
ROUGH COMPLETE
MAIN DRAIN 3 - 3 _
—?r
/
LATH & PLASTER
GRADING FINAL
FINAL PLBG.
FINAL BLDG.
OWrn
�• I.I Md✓• Shc«
FINAL APPLIANCE
DATE
ELECTRICAL
INSPE MISC.
wop—
UNDERGROUND ROUGH
ROUGH WIRING
v
FINISHED WIRING
�^
FIXTURES
MOTORS
Ile
FINAL
PLUMBING, GAS & APPLIANCE
MISC,-1Q.L -3—j5-7
DATE
INSPECTOR MISC.
BACK FLOW REQ.
MISC
SANITARY NO.
MISC
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 3 - 3 _
—?r
/
FINAL PLBG.
FINAL GAS —2
OWrn
�• I.I Md✓• Shc«
FINAL APPLIANCE
in�covr Tnoa MISC.
MISC,-1Q.L -3—j5-7
MISC
MISC
CERTIFICATE OF COMPLETION
BUnDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............. 19.1..: Building Date ------�`�-- ---U------... �` g Permit No.
The Building,Locato at
Owned by
Has Been or Use As:
INSPECTOR