NO PERMIT NUMBER (3) /0,5--o O I4e1.ay (�( Q Lot No.
No. Street(/
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File Nolo J• �Tg_
Sanitary No.
Data y2' 196
Application is hereby made for a permit to
(.. a story, Type
to be occupied only as
in accordance with of Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S 0 '
R 0 0 sp
FEES Plan Check E
Owner n"'r Address
Cont'. Address
Phone �� State License /2CAo` ✓
WILLIAM D. EENEVICH
Approved
L
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contt. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
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 2,3-Z r
DATE _ INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
Dy E NS OR
FINAL �-
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
GATE INSPECTOR
FINAL
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 INSPECTOR
APPLIANCE
INSPECTED
GATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR