FILE 51089.2 0z/.2,0 0 /�{/� Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File Noss 111F ,
Date 19
Application is hereby made for a permit to
u story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith..
Estimated Value of Improvements $
FEES O Plan Check $
Owner A14 Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
S?
Data -9 '2 19 7 / FEES
Contr. /7wN 44CArc-W e4zAddress
Phone .2-9 ,7—Zt�i 7 State License 7� �x�� Q,_ —
Approved dl�t �� '�
APPLICATION FOR PLUMBING & GAS PERMIT i�[
Date 19 GAS FEE $
PLUMBING FEE $
Cont,. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT ',7-1
Do to 0= 19 7 , FEES
Contr. 00-4-aI, gAddress /.I-/ X.+
Phone Ad 4,te—�G t? 0 State License �' O �to
Approved
Applicants agree not to violate, any of the �
Workman's Compensation Laws of the
State of California
PD.)
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
ATE INSPECTOR MISC.
UNDERGROUND ROUG
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS 9
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC