51090 l e i Lid 0 (.L�[[ l (.s � � e Lot No.
No. Street C)
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO .
Sanitary No.
File No.
Date s a'� 196 4
Application is hereby made for a permit to
l� ' - a _,.,_ story, Type
to be occupied only as ��.`1_'L+"c--���IC/ t0`•��—"-s'E�/
in accordance wit Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S 6 l)
FEES ���' �1d�/� Q Plan Check E
Owner /�^''�—� '�^� Address
Contr. Address r�sZ
Phone a 9 d' — �° oZ/` <,,C State License aSZ1 is o `'
Approved L� T
APPLICATION FOR ELECTRICAL PERMIT
r�
Data 19610 FEES Z
Contr, Q Address
Phone State License 200 �/0 �t V
Approved r3
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contra Address
Phone State License
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING INA
FINAL
ELE RICAL
.PAYE INS CTOR 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