NO PERMIT NUMBERI
Elect.
22044 I McClellan Rd. Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary
File No.
Date 11/1/73 19
Application is hereby made for a permit to
n ,story, Type,
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Date
Contr
Picone
Dote
Cont%
Phone
Do to
Contr.
Phone
APPLICATION FOR ELECTRICAL PERMIT .
19 FEES
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
19 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEES
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
Estimated Value of Improvements $
FEES
5'00
Plan Check $
Chester D'Amico
Owner
Address
Contr.
Sid Electric
Address Box 237,
Hayward
Phone
415-581-8433
State License
138284
E.
Murphy/h
Approved
Date
Contr
Picone
Dote
Cont%
Phone
Do to
Contr.
Phone
APPLICATION FOR ELECTRICAL PERMIT .
19 FEES
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
19 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEES
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
PAD FINAL_
FOUNDATION_
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
UNDEI
ROUGI
FINISh
FIXTU
MOTOI
FINAL
� IL3o-1�
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
(GROUND ROUGH
-
I WIRING
ED WIRING
RES
IS
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
MI
ISI&TO
I
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Yo {rill 1, 1 PLICATION FOR ELECTRICAL PERMIT
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c W Application is hereby made to'the City of Cupertino for a permit to install electrical
s < wiring and/or fixtures as listed on the reverse side hereof, and agrees to install mid
i wiring and/or fixtures in accordance with the provisions of the Electrical Cade of the
W i ws City of Cupertino, and all other laapplicable there
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