FILE 51140Lot No.
No. a Street a
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO ���j/ p,/
Sanitary No.—r-r�-f-
J� File No. S -//y
Data
AppLic tionAhereby made for,AKmit to � N
w /story. Type
to 6e occupied onilas
in accordance with plot Plan, plans and Specification filed herewith„
Estimated Value of Improvements $
FEES �J Pion Check $
Owner _ U X.Qld Address
Contr. so" III L tCiAt 0 Address fins -
D s.�iiLSLL- r
Phone �� / State License 3
Approved
Id
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES .
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date AilT1 196
GAS FEE $
PLUMBING FEE $ _®
fA A
Contr. _�CIJ�.I� �_
Address
Phone
State License
Approved
APPLICATION
FOR APPLIANCE PERMIT
Data 1%
FEES
Contr.
Phone
Address
Sta te�L i ce ---
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State. of California
PAD FINAL
FOUNDATION-
UNDERFLOOR
OUNDATION_UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL -
FINAL BLOG.-
UNDER
ROUGh
FINISH
FIXTU
MOT OI
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
E INSPECTOR MISC.
ELECTRICAL
1.1p INSPECTOR MISC.
GROUND ROUGH-
OUGHWIRINGED
WIRING-
EDWIRING
RES
!S -
BACK FLOW REQ.
SANITARY NO. _
UNDERGROUND RO
PARTIAL ROUGH_
ROUGH COMPLETE
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
INSPECTOR m
a[I
Nldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
rf
Q, -Sewer Connection Sanitary Permit No....... .......c .............
Plumbing Permit No..s.'�v`
�/Plumbing Final g -----------
Lot No . ....1/7-17, ..................
Owner or Tenant ---Z!
At ....
Tract ........... ..............
.
Date Connected ..........
Date Final -----------------
PLUMBING INSPECTOR
Ill 7/63 -IM
los-9bl (z)&c. a
NO. STREET
A= FOR APPLIANCE
OF CUPERTINO
Dat 9- _ Permit D
Fee o
to the City -of Cupertino
on the reverse side hereof,
lawith the provisions of
3. f an other laws anal
install
Code
Use of Pr(
in
PERMIT
By CONTRACTO&, AGENT
Phone!)( a1s-;3120
1�
State Licensc`� ebc%_l1.Xaz�.
a permit to
d agrees to
Plumbing
Ile t ereto. �y
DA
Approved MA
PLUMBING INSPECTOR
v
O
't F
c S
0 o U
�o
c �
0 0
9 o o a .n o a C; n
CITY OR=CUPERTINO'
10300 Torre Ave.
CORRECTION NOTICE
------------- -
Department
Job Located at ./.0..3��f.�a..--%✓.,.........
---------------------
- --- ---------
./-
:.:--------- ---�-----
i::W `
V
done.'untiLthe aLiove'violations. are:corrected. When'
corrections`have been"made call'the inspector's
252.4505 Date:. ........f� 0,....'.:
City ,Telephone Inspector:. ,•.. - -----
3