51140 _ioGir I FELTe.�/ wqy Lot No.
No. Street t
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 3
Sanitary No. 6 p `oX7
File No. SWyG
Date e61 1943— . .-. -
(V Application is hereby made for a permit to -
a story. Type
to be occupied only as
in -ccardqg,,c with Plot Plan, Plans and Specification filed herewith.,
Eitimated Value of Improvements $
FEES - ¢¢ e % Plan Check $ /+
Owner _wfAdd .CAO. X, Address /QG4� /'L`LTOAt WAV
Contr. Address �/
Phone 2.S 3 0 30Y State License A0AAile Of✓A/A?�
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
._ Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 19�5�3 GAS FEE $
qq /40/406/!C :.PLUMBING FEE $ /�7
Contr, _M.OW IQJ.� _ Address � 6� A.L, I�
Phone —_�S^3 D 30y State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone '
State License
""Approved'�
Applicants agree not to violate any of the
Workmen's Compensation Laws of the '(
State. of California
f
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,
OTORSFINALPLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. 7
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
i
MISC 1
Bldg. Dept.
Office COPY.
BUILDING INSPECTOR'S OFFICE
CITY, OF CUPERTINO ..
Sewer Connection Sanitary Permit No. ...;C 5»
..........
1
.Plumbing Final Plumbing Permit No. ........
LotNo. ................:..:. -...
Owner or Tenant ..... )..:`.rY::....�?:C -e:.�r4 +..-------- ......._...----r._..:. ..........•
Tract':....................:.....................................................---.......................:................:......_------
Date Connected ....... ....`n�......�. ........ .. ............. .......
Date Final ....
9 ..
PLUMBING INSPECTOR
X
ur Q' N& STREET
CITY OF UPERTINO
Vs. APPLICATION FOR PLUMBING PERMIT
OJ # ���-S
i� 3 U Senitery No.
w Dete 19 r' Permit No. `s 7'U
1-
.s Fee$ 7=
w
a Application is hereby made to the City of Cupertino for a permit to install plumbing
z'y pipes and/or fixtures listed'on the reverse side hereof, and agrees to install said prices
w w and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a- Cupertino, and all other laws applicable thereto.
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