NO PERMIT NUMBER (2)22044 McClellan Rd.
No. Street
Sewer
Lor No.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
So'itory No. 8523 BF
File No. lflfl 929
Date 6/1/73 19
Application is hereby made for a permit to
a story, Type
to be occupied only as Spwpn flnly
in accordance with Plot Plan, Plans and Specification filed herewith.
Dote
Contr
Phone
Date
Contr.
Phone
Do to
Contr.
Phone
APPLICATION FOR ELECTRICAL PERMIT
19 FEE$
Address
Stare License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
19 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEE$
Address
Stare License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
PDA
Estimated Value of Improvements
$
FEE$
7.00
Plan Check $
0wr,er
Chester D'Amy,g
Address
Contr,
Glage
Address Box
961, Campbell
Phone
379-3010
State License
271492
Approved J.
A. Busto/h
t
Dote
Contr
Phone
Date
Contr.
Phone
Do to
Contr.
Phone
APPLICATION FOR ELECTRICAL PERMIT
19 FEE$
Address
Stare License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
19 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEE$
Address
Stare License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
PDA
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
SAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. .
UNDEF
ROUGE
FINISH
FIXTU
MOTOF
FINAL
ELECTRICAL
DATE INSPECTOR
MISC.
'.GROUND ROUGH
-
I WIRING
ED WIRING
RES
!S
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH_
ROUGHC TE _
MA DRAIN Ar, (
FIN
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
TE INSPECTOR MISrC.
L �LN1C
ciM e. e ,��'f--/ _/ 1 ' LOT NO,
N O. 4%S ,
N Q
CITY OF CUPERTINO
o APPLICATION FOR PLUMBING PERMIT o♦ J ;
O Sanitary No.
Permit OV
i , y
W U ppq�b` � 19 No. UV
F=-0 w Fee $ 7 1
LL 1
0 4 application is hereby made to the City of Cupertino for a permit to install plumbing
a1-
N pipes and/or fixtures listed on the reverse side hereof, and agrees.to install said prices
,a w and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
c Cupertino, and all other laws applicable thereto.
JLL
00
Use of / Work To Be
stn Premises U�.� /.t Performed �GrL•-r�`
Z J Owner I ` (G(.� Address
J z O /✓u�' (7 C'/�'�9��i/�LZ
JO ByC I,LLC;r% Address
3 H CAntractor Agent
w 0 Phone I
w �L
0 2 State License Approved
Q do
Oo7 Plumbing Inspector
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
X F g Sa3
Sewer Connection Sanitary Permit No - ------- -----------------------
Plumbing Final Plumbing Permit
/} n Lot No ............ .- .....
Owner or Tenant ......5....:...... `// ,%!-51.........................------............................
At ..... z:.�..Q...`%.y....�-.r. r....... (. <CL�! >. ---- /?"-----------------------------------------
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