File 51124•
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ECORD OF INSPECTION APPROVALS
BUILDING
OUNDATION
Date
Inspector
NDERFLOOR
RAME
Date
Inspector
ATM & PLASTER
Date
Inspector
'-
Inspector
/ — '5I) ato
INAL I
Do to
Inspector
ri
No. Street //
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196 ..9
Application is hereby made for a permit to
a
to be occupied only as
Sanitary No.
File No.
Type
Lot No.
in accordance with Plot Plan, Plans (lfd Specification filed herewith„
Estimated Value of Improvements $
FEE$ .3,6-o ��) Pion Check $
Owner `^� Address
Contr. Address
Phone '2 tq S State License
Approved
J
APPLICATION FOR ELECTRICAL PERMIT
Date
196 FEE$
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data
196 GAS FEE $
PLUMBING FEE $
Contr.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
196 FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State, of California
PAD YINAL_
FOUNDATION_
UNDERFLOOR _
FRAME
LATH 8 PLASTER
GRADING FINAL_
FINAL BLDG._
UNDEF
ROUGE
FINISH
FIXTU
MOT OI
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR
ELECTRICAL
nATE INSPECTOR MISC.
GROUND ROUGH
I WIRING
ED WIRING
RES
IS
BACK FLOW Nt O•
SANITARY NO.
UNDERGROUND ROU
PARTIAL ROUGH _
ROUGH COMPLETE.
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE _
MI
MISC
MISC
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
f
GAS SERVICE NOTICE OFFICrs
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO/
�...
To
You are hereby authorized to connect the GAS service for
Owner or Tenant e:7];9- �... / % _.. ..
G
At .Oo�W
New Service ..._...:....._._._._.
No. of Meters / ............... Reconnect ... — ..... ... ...........
....
Move Service .......... ..
No. of Add'. Meters .. ...... Move Meter ..
mmhmmK ..i+
UMBING INSPECTOR,