51131Lot No.
I No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
Q/w File No.'s—//,f,/
Date .�(�[� 196
/ /J/
Application is hereby made for a permit to �
gomh lu.A.fe w a story. Type J- 1 +
✓
to be occupied only as '0— 3/ s V % ",
in accordance wit/W'lot plan, Plans
andd Specification filed herewith,
E•timoted Value o/ Improvements s 3;0
FEES d'V Plan Check $ 02e' J-6
Ownar Address
Contr. Address 7�
Phone a C 3 -its 9 State License 4--4— ��
Approved
IV
APPLICATION FOR ELECTRICAL PERMIT
Date
196–;.—FEES
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
196 GAS FEE $
PLUMBING FEE S
Contr.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
1% FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not
to violate any of the
Workman's Compensation Laws of the
State. of California
-
PAD FINAL _
FOUNDATION_
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
UNDERGROJdF y
i
ROUGH WIRll j 1
FINISHED WIRING
FIXTURES
MOTORS
RECORD OF INSPECTION APPROVALS
BUILDING
O ATE INSPECTOR /
ELECTRICAL
DATE INSPECTOR
FINAL
WORK WILL BESI.v 1101A) AFTER 'Ty
E `6P57aF 7
¢E�AoSE rNfY Nccatn /4'"y 6R DR.Af/+-ars
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
MISC.
✓EAB. STOPPED
i1 -a9-20 ro.
Lot No.
I No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
Q/w File No.'s—//,f,/
Date .�(�[� 196
/ /J/
Application is hereby made for a permit to �
gomh lu.A.fe w a story. Type J- 1 +
✓
to be occupied only as '0— 3/ s V % ",
in accordance wit/W'lot plan, Plans
andd Specification filed herewith,
E•timoted Value o/ Improvements s 3;0
FEES d'V Plan Check $ 02e' J-6
Ownar Address
Contr. Address 7�
Phone a C 3 -its 9 State License 4--4— ��
Approved
IV
APPLICATION FOR ELECTRICAL PERMIT
Date
196–;.—FEES
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
196 GAS FEE $
PLUMBING FEE S
Contr.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
1% FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not
to violate any of the
Workman's Compensation Laws of the
State. of California
-
PAD FINAL _
FOUNDATION_
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
UNDERGROJdF y
i
ROUGH WIRll j 1
FINISHED WIRING
FIXTURES
MOTORS
RECORD OF INSPECTION APPROVALS
BUILDING
O ATE INSPECTOR /
ELECTRICAL
DATE INSPECTOR
FINAL
WORK WILL BESI.v 1101A) AFTER 'Ty
E `6P57aF 7
¢E�AoSE rNfY Nccatn /4'"y 6R DR.Af/+-ars
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
MISC.
✓EAB. STOPPED
i1 -a9-20 ro.