NO PERMIT NUMBER fLot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF.CUPERTINO
File No.�
Dot 196 q Sanitary No.
e � �3f�
OApplication is hereby made for a permit to
�Z6 ^ ��o7S Type
to be occupied onl s � sliver J
in accordance with Plot Plan, Plana and Specification filed herewith,
`Estimated Value of Improvements S t�DOD
FEES,✓ s AJ— Plan Check $
O
Owner Address
Contr. Address
t
Phone ss' State License '190 - 179!
w -
Approved • A s �[.�1[LLJ.r[� i
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES 67
Contr. �nt / Q �j Address
Phone tx Cgs- � 66 ]7 State License
Approved WILLIAM D. DENEVICH"
APPLICATION FOR PLUMBING & GAS PERMITB� //�
Y
Date2-125W 196 GAS FEE $ 3r
PLUMBING FEE $
Contiamj / U.Address 6-
r s.
Phone State License �
Approved
WILLIAM D. BENEVICH
nn 11 rr APP ATION FOR APPLIANCE PERMIT
Date 196 FEES �
Contr. ! Address
Phone �/�� State License
Approved
WILLIAM D. BENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION-�'CRC.G'
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
3 ^� IN9 ECTOR
FINAL %
DA Ir E INSPECTOR
p ELECTRICAL Q QxQ
ELECT. SERVIC - 0 -Ztl ,�- -`'�"
OA I E INSPECTOR
UNDERGROUND Y j
D E INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
' '7� D TE INSPEC OR
FINAL ✓-�f�
DATE INSPECTOR
PLUMBING'& GAGS ../
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
IN DRAIN
GAS I NGT. T Ply
3 _ 3 _DATE p /Jp I NSPECTOR
FINAL 7�^✓�([l(
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTORS
PD111�mHON FOR BUILDING PERMIT Lot No.
I JUL 5 �`�6" City of Cupertino
c Date .7` Z� 196 Sanitary No.
„ A ho
ermit No.
E .E / ( �fior�her� �a bdnit to as
x
V`o 0
3 _ a story,Type //�� Building
w.. to be occupied only as � r 011t r00 �- in accordance with
0
Plans,Specifications and Plot-Plan filed herewith.
PI Ck Fee
T a A o�
Estimated Value of Improvements,S 00 0 Fee S �z c
oW It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
°
> all other laws applicable to the construction, location, and use of buildings within the City of
c A Cupertino will be complied with.
- o all
3 Owner (�S'S'Q-N Address a 6 /J 1/
DI� By Address
Phone_ ZY� 7� a Approved
State License /�tT -�/ ^j ilding Inspector