NO PERMIT NUMBER r�o�-o2.7 s2J Lot No.
No. eet
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. 6 "4,
File
File No/LC-1
Do to 6 19
Application is herr by made for a permit to
a story, Type
' to 6e occupied only as
inacc
rdance with plot Plan, Pla and Specification filed herewith,
Estimated Value o/ Improvements $
FEES Plan Check $
Owner Address
Contr. Address
Phone State License
Approved L
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Pitons State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER_
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING_
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY N0.
UNDERGROUND ROUGH. 4-0-A
Y
PARTIAL ROUGH
ROUGH COM PLETE
MAIN DRAIN 7
FINAL PLBG.
FINAL GAS
FINAL PPLIANCE '
DATE INSPECTOR MISC.
MISC
MISC
MISC
ti
1 ad 4p�;� •A_ I Co PL R rwg �_ LOT NO,
NO. S"EP.T
CITY OF CUPERTINO
cmr or cuPEan.APPLICATION FOR PLUMBING PERMIT
w � �F
x ° FEB 16 1972 5anitrvy No.
3 a Date w � ��� 1973— Permit No
U P A D Pee $
W W
I 0
Application is hereby made to the City of Cupertino for n permit to install Plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
'z m anti/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws thereto.
w r
0 o Use of Premises
oa Owner _ Address XX}7Z
z�
o BY Address
3 Q CONTRACTOR, AGENT
— W Phone a —3
o State Licr.nse�� Approved
�GO�
` _V PLUMBING-INSPECTOR [�
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k � }) I ; � z Erb ■ i 7
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CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
................ ---------- ... --
Department
Job L�o�oled at . 3 7..2 ...... ..... ....!4l�.,...
.... -- . .--...:�
y,,...- . ..............
........... ................................................. .. ....
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----------- -- - - ---- - ------ --- -- . ,y f ......................
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................................... . ................................................
.................................... .................... ................. ........
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the,fnspe tor.
252-4505 Date: .......3 //. . .7�-
City Telephone Inspector: ...... .. . . .. .....