51189 - BILLIARDS ROOM ILot No. lb
No.. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
-- Fila No.�_
Date -196 _ 1
Application is hereby made for a permit to
L �&.lam! a story, Type `+
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ n Plan Check $
Owner Address
Contr. Address
Phone o State License
7 7.t', Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PE IT
/'S-0
Date 196 -711 GAS FEE E .�
PLUM FEE $
Contr, ress
Phone 3 7 State License
Approved
APPLICATION FOR APPLIANC PERMIT
Date 196 FEE$
Contr. Address
Phone k 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
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION ZZ
UNDERFLOOR
FRAME , O
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRI AL
D SPEC MISC.
UNDERGROUND ROUGH Z
1 /7b 2
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL '
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
File No.
Date
Locationv�isY
Subject /yrs
Notes
Approved /
a e Inspe or