NO PERMIT NUMBERa I L%I R�fA i Lot 1
No. Street
APPLICATION FOR BUILDING -PERMIT
CITY OF CUPERTINO
Sanitary
File No.lrde:! 0
Date. fi.L 196
Application is hereby made for a permit to
• t
a - story, T_;&
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Q
Estimated Value of Improvements $dad
FEE$ — `y��" Plan Check $
55
Contr. Address
Phone a# 43 ii State License J
■
Approved ��� ■– -- / i
Applicants agree riot to violate any of the
Workman's Compensation Laws of the
State of California
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
Data
196 FEES
Contr.
Address
Phone
State License
^';A'ppro'ved
Applicants agree riot 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.
UNDER
ROUGh
FINISH
FI%TU
MOTOF
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
ELECTRICAL
nnrc INSPECTOR MISC.
GROUND ROUGH
WIRING
ED WIRING
RES
S
BACK I-LUW KCV._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE —
31&11141
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
nolo
IOd�O IOT NO.
NO. T
z ® >F R BUILDING PERMIT
r o 197al ;i _TCUPERTINO
3a (AUG 12 Sanitary iso._
a
i u „ Unte 11YY Q(j� Permit No.
0 TV (�F e or
r w App t' pltyt is�Rtreb adrmit to
oa 0
z to a_ a story, pe a Building
a w
to be occupied on with
a
0 o Plans, Specifications and Plot -Plan filed herewit6Q PI Ck Fee tom___
Estimated Value of Improvements, $ 1,17e 0 Fee $ a
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d 0 Cupertino, rill be c mp e 2I
3 N Own �� Address
W
W a By
o s�—
aru Phone _ Approve _
State Licens�el/ri BUILDING INSPECTOR
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