NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary
File No.�
Date 196
Applicatj6n is&re by made for aWtory,
�p Typo
to be occupied only os
- in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ Plan Check $
Owner . s Address
Confr, A00AI Address
a
Phone J 7 - a/I Q State License A2O
Approved
V
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$ -
Contr. Address
Phone State License
Approved
APPLICATION FOR.PLUMBING & GAS PERMIT
Dara / 196 GAS FEE E
PLUMBING FEE t
Contr. —AIX /1
1—p"It Address 7S� -.9T�/'y tY5(�X • C��
Phone 2S A11V State License o2�0 77.`l
Approved
APPLICATION FOR APPLIANCE PERMIT
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Data 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any.of the
Workman's Compensalinn Laws of the _
State of California -
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, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
il I
DATE INSPECTOR MISC.
MISC
MISC
MISC