51114 Lot No.
No. Stree
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. `�
File No.t4—///T
Date 196
Application is hereby made for a permit t �
to be occupied only as
in accordance with Plo lan, Plans and Specification filed herewith.
Estimated Value of Improvements j
a sa '=
FEE$ a /nJ Plan Check $
Owner A;6� CI Q� - �-- Address
Contr. 99064V,�* ��- •/ 9 Address
Phone OZ.S State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Stale of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BCIIC. 00
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH-
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR "`' MISC.
MISC
MISC
MISC
No. ,. Street Lot No.
CITY OF CUPE.M.140 APPLICATION FOR BUILDING PERMIT
FEB4 1971 City of Cupertino
N Sanitary No.
Date , 196_ Permit No.
v
.o PApAcatpn®hereby made for a permit to
3 a / story,Type Building
d
$ o to be occupied only as ..J- aI?A/ole! in accordance with
w
° Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
00 s
Estimated Value of Improvements,S 49 �' Fee$ e
o e It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
'S all other laws applicable to the construction, location, and use of buildings within the City of
A Cupertino will be complied with.
C
3 ° Owner Nal '-'9-ay RD S AddressfO�YO (�_
v a DzI By - Address:
ig 4649
E Phone — / ? Approved "�
State License 42 u 0ffig Inspector