NO PERMIT NUMBER �Q y/e�•7`/ Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. "dlq �L
/ Sanitary No.
OF
Dote� � 196
Application
is hereby made for a permit to
a 1 Z .storY. T e 'rte
YP
to be occupied only as
in accordance with Plot Plan, Pla and Specification filed herewith,
Estimated Value of Improvements s � Q Q Cj d 0
FEES SAy Plan Check $ oZS- .f-a7
Owner a#-O'-J Address
Contr. Address
Phone 009- �3�9 State License
e �
Approved
APPLICATION FOR ELECTRICAL PERMIT
3
Dote a 196-'15' FEES - /�r-
Cwtr. ��• '� d"� -� Address
Phone -027X-3— 1& 45r State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date ._ 196 G GAS FEE $
PLUMBING FEE E gE.A
etantr. - W4 A1� L� Address
Phone - et-s 3�.1 9 State License
Approved
APPLICATION FOR APPLIAN PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws ofthe
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTO
FRAME �— b
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND.
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE 3
GATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC.
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
1A1F INSPECTOR