51226IV -
7.4"
No.
.TION FOR BUILDING PE
CITY OF CUPERTINO
Da te� 19��
AppficAtion is hereby rrap(e for a permit to
to be occupied only as
Lot No.
Sanitary No. 4.d? t c,
File No. f .1' Y
r
story. Type
e
in accordancewith plot plan, plans andSpecificationfiled herewith,
1*0
Estimated Value of Improvements j T 00�
APPLICATION FOR ELECTRICAL PERMIT
Date I l y 199 -
6 (� ' FEES 1 01S�
Contr. �d pQ P 110/' �!, Address t/71)
/�7 2 I n _
Phone / 56— 0740 State License (% � 1 )CD .Q _
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 1967/ GAS FEE $
PLUMBING FEE $
Conte Address _ ..?--9 &0
Phone �3 74F — is 9 A- / State License
Approved
C/
-1 APPLI ATION FOR APPLIANCE PERMIT
Date 1% I FEES
C ontr. 044__pdc�.l'd. IpTiif, I� Address
Phone — ��%�'n012J `'� State License
Approved
1pplicants agree not to violate any of the
Vorknwn's Compensation Laws of the _
i to to of California
FEEj
Plan Che
Owae
• Address
Cont'.
Address
�l _ {
Phone
l State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date I l y 199 -
6 (� ' FEES 1 01S�
Contr. �d pQ P 110/' �!, Address t/71)
/�7 2 I n _
Phone / 56— 0740 State License (% � 1 )CD .Q _
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 1967/ GAS FEE $
PLUMBING FEE $
Conte Address _ ..?--9 &0
Phone �3 74F — is 9 A- / State License
Approved
C/
-1 APPLI ATION FOR APPLIANCE PERMIT
Date 1% I FEES
C ontr. 044__pdc�.l'd. IpTiif, I� Address
Phone — ��%�'n012J `'� State License
Approved
1pplicants agree not to violate any of the
Vorknwn's Compensation Laws of the _
i to to of California
RECORD 07 INSPECTION APPROVALS
BUILDING
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH /-2j -71
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.S 5'7/
FINAL GASS 41
FINAL APPLIANCE5-1-t- 71
INS
-?/
DATE
INSPECTOR
MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
411
FINAL BLDG.
ATE
ELECTRICAL
NSPECX&
UNDERGROUND R
ROUGH WIRING
'
WIRING
I
FINISHED
FIXTURES
/
MOTORS-
OTORS FINAL
FINAL-
5
/
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH /-2j -71
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.S 5'7/
FINAL GASS 41
FINAL APPLIANCE5-1-t- 71
INS
-?/
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........ 0.-. &( ....................... 19 ....,17 o0oluilding Permit No.
The Budding
Owned by
Has Been
at 1
....2 -..Z..---Z.,,�.... 4? -A ...... &-.K ....
k4
-: - I - - CJ
(C - -For
- - .
I �— ------- ................... ..................
INSPECTOR