NO PERMIT NUMBER Lot No.
No. Street
CITY OF CUPERTINO Z�
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. '���G
Do to O 19 7
Applicatio his hereby.made�for a permit to
9;4� v "--``d sto Typc
to be occupid only as
in accordance with plot plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
S-7I d d_
Oa
FEE$ a 6 Plan Check $
Owner yd Address �y�p
Contr. Address
Phone o2-q .S- d S 7 ,S� State License 7
Approved
s(G
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
b
Date L� 19 71J GAS FEE E
PLUMBING FEE $
i
Contr. / Address
Phone oLS� O ^L State License 'z2 0 -2 71
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
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
UNDERFLOORfo
p �+
FRAME • �+ L
LATH & PLASTER
GRADING FINAL r
FINAL BLDG. � c
ELECTRICAL
DATE INS CTOR MISC.
UNDERGROa/f/
/
ROUGH WIRY
FINISHED W
FIXTURES
MOTORSFINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. 73
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
i
r
f" 3S ? LOT NO.
NO. STREET
ERTINO
CU
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eattNo /
��AtE1 oEPt.
o APPLICATION FOR BUILDING PERMIT
S/
O J A). ty/t � ✓ Building Per.No: off
W
3 U U ``U � 19� Sanitary Per. No.
l- s o Appical hereby made for a permit to 2£ �fi118 F
u.
Fa tory, Type _. Structure
a N to be occupied only as in accordance with
w
aF Plans, Specifications and Plot-PI filed herewith. PI Ck Fee$
J
20 Estimated Value of Improvements, $ Fee$ 0�
>N
Total Fee$ d
oa
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J2
J o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
�sA2C%SoN �o s_�'a�ToS£
W Z Owner Address ww
O 2 By f�ja—a -n Address 1(
Q V Contr,or Agan1 �� -
Phone 22<r�n�r'� Approved /
State License Building Inspector
I� ls��fk t�op� C rc(dw LOT NO,
No. STREEt'
CITY OF CUPERTINO
w i C11 OF aFERTNO APPLICATION FOR PLUMBING PERMIT
s K Sanitary No.
3 a /7✓ 19 •_ Permit No
w n 1 D Pee $
0PApplication is hcreby,madc to the City of Cupertino for n permit to install plumbing
o W Pipes and/or fiXtUrCS listed on the reverse side hereof, and agrees to install said Prices
a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
Use of Premises
00
3 Owner Address,
oz By Aly Address a/ TS�
O CONTRACTOR, AGENT
— m
Phone 7,
W W
a ` State License 2pb7
Approved-
0
-O PLUMBING INSPECTOR
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