51140APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to _� 196
Application is hereby made for a permit to
to be occupied only as
in ac%rdance with
a
Lot No.
Sanitary No. C i/ r/
File No.1900'yQ
story, Type
Plan, Plans Ad Specification filed herewith,
Estimated Value of Improvements $
FEES /2 0=0 f;,lan Check $
Owner ss
�� �re�pss
sssss� /J
Contr. �...-L. Address
Phone?
f �
--a�/ dPk e,# O State License �L%
Approved k/
APPLICATION FOR ELECTRICAL PERMIT
Date 196
FEES
Contr,
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote
196 GAS FEE $
PLUMBING FEE $
,Cont,.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
196 FEES
..]p"
Contr.
Address
Phone
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the S
State of California t
PAD FINAL_
FOUNDATION-
UNDERFLOOR
OUNDATION_UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
UNDEF
ROUGI
FINISh
FIKTL
MOT OI
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
ELECTRICAL
ma7p INSPECTOR MISC.
GROUND ROUGH
I WIRING
ED WIRING
RES
IS
PLUMBING, GAS &.APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE 1
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE - G
Vo 'lam
DATE INSPECTOR MISC.
MI
Bldg. Dept
BUILDING INSPECTOR'S OFFICE.
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ..............
r-1 Plumbing Final Plumbing Permit No...'s..f.1.. q -t ......
LotNo . ................................
Owner or Tenant
At
Tract
...................
— I -V - 2--, t ) pk I.
Date Connected ......... ................ . ................
DateFinal ..................................... t._1.: . ......... . 190
....... .....
..........
....................... U
PLUMBING INSPECT R
It I 7/63-1M