NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.3 111/11 i
QSanitary No.
Date �� 196
a �AAppplic�ation is hereby made for a permit to
e _' ` ¢ a rY. Type s_
to be occupied only as t-� �
in accordance with Plot Plan, f nsand Specifi ation filed herewit
q Estimated Valve of Improvements $
topDa e4
FEES //�•��d U�sv Plan Check f
Ow r.er Address
Contr. Address ,,L4
Phone a2 S 7-a"`3 d-6 State License A ,_�
WILLIAM D. BENEVICN
Approved
APPLICATION FOR ELECTRICAL PERMIT
�' ✓'
Data 196— FEEf
Curr: tt_e_e .�� / � Address
Phone S-7'x .3-c'-V State Licensee
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE f
PLUMBING FEE. $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION '
DATE NS OR
UNDERFLOOR
OA�jE ISP TOR
FRAME ./a - 66
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL -aS^ 7
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
f u ^ /}DifE v INSPECTOR
- ROUGH WIRING
DATE INSPECTOR
FINISH WIRING � �'r--
DATE INSPECTOR
FIXTURES - 11
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL �'s' 71
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND -
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE _ rn INSPECTOR
14,
/-G - 7/ - 'k1.iL0 .C.c ..l a�e^.,4wul• 070 • ic6•a«7G
�0
PPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
1�s /999/ A 4-4 - ��/(0
AM
No. Street Lot No.
APPLI TtQt3-60F�,I3UIJ,j�,��1G Plu
IT
y of ae
Sanitary No.
-G Date , 196 �t No.
ITV. Inl
Y � Application is hereby made fora penpit Eo 7`
3 � a�_ T e / wilding
m
to be occupied only '
o
o v Plans,Specifications and Plot-Plan filed herewith- �d PI Ck Fee BO
Ty
Estimated Value of Improvements,$ �Q� Fee$ 9
c `o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
o m Cupertino will be complied with.
.3 o Owner Address
By X, ------'A'ddrE
tb Eo Phone oF.5,7 — -.?00 Approve
U nspector
State License buil '