NO PERMIT NUMBER (3)No. - VStreet
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196
Application is hereby made for a permit to
a
to be occupied only as
Sanitary No. 7 r /
i
File No. Lr�� sa0
story, Type
it accordance with Plot Plan, Plar1rand Specification filed herewith,
Estimated Value of Improvements $
FEES :*-.O� AA- Plan Check $
Ow r,er 0432//yeG/rC.j.Lwr.C.^/ Address
Contr. Address
Phone eZ.S4J — -S'445 df 7
State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date
196 FEE$
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 iL icense
Approved'
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PAD FINAL_
FOUNDATION_
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL,f'
UNDEF
ROUGI
FINISH
FIXTU
MOT 01
awNe
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR _. MISC.
ELECTRICAL
n ATP INSPECTOR
GROUND ROUGH—
OUGHWIRINGED
WIRING—
EDWIRING
RES
®
;S
PLUMBING, GAS & APPLIANCE'
DATE INSPECTOR
BACK FLOW REQ.
SANITARY N0.
UNDERGROUND ROUGH—
PARTIAL
OUGH PARTIAL ROUGH/'
H COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INS
MISC
MISC
MISC
Bldg. Dept.
p Office COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No..... .�3..
' Plumbing Final Plumbing Permit No. S..I(-G
LotNo ................................
Owner or Tenant ..........:r! ....:..L..ot.,'.::J........._........ .
..................................--
At
Traci
Date Connected ..:.......?
Date Final ---------- / ✓ '_J W -
19............
19............
PLUMBING INSPECTOR
CITY OF'CUP5RTINO
10300 Torre Ave.
CORRECTION NOTICE
-----------------------------
Department
Job Located at_<%orrni
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You are hereby notified that no more work shall
done until the above violations are corrected. When
-
corrections have been made call he inspector.
252-4505 Date:
City Telephone Inspector:.
� C 0 R R
CITY OF CUPERTINO
10300 Torre Ave.
0
NOTICE
Job Located at ala,
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252 Date: ------- 70
.7 --- ----------
-4505.
City Telephone Inspector: .. .. ...........
CITY OF- CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE.
Job Located at
O � M
aA'av
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call,the inspector.
252.4505 Date: ... --------------
City
----- ---
City Telephone Inspector: