526 4/t55
NO. STREET
T p rl . APPLICATION FOR BUILDING PERMIT
Y ° =..J tl 111
CH'Y Or CUPERTINO
5 a DEC — 6 1968 'x. S;tnitarr No
W „ Date- 196_ Permit No.
° n+"�.r .nr nAPlot-P
'oAppl2ahomis hea ermit to
a
i in a_� story / B ing
< W
W I to be occupied only as in accordance with
0 o Plans, Specifications :filed herewith. Pl Ck Fee
> "; Estimated Value of Improvements,$ � � Fee$
oa
2 J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
, all )ther laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino wi be c rip ed ith Q
3 < r =/9
_ Owner/ / Addres
e a
By-
0
y o Phon•���
_u Approved
W State License ���j/ �' a II ING INSPECTOR
r
rnd ` )t�Q Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
/L
a No.j
Date 196 1
CApplication its hhereby made for a permit to
story, Type fO
to be occupied only as` �
in accordance with Plot Plan, 'Inns and Specification filed herewith„
Estimated Value of Improvements S 0,7.2 'r
FEES n /uAw,_ Plan Check E
Owner' ^/ K� Address
Cont,. 1/ • Address IMA
Phone G S SD State License leT_�
c
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 -FEES
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
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
RECORD OF INSPECTION APPROVALS
T-
ATE INS T I
PAD FINAL
FOUNDATIO
UNDERFLOOR ,
FRAME `
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
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