NO PERMIT NUMBER Lot No.
No. Street ,
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
• Sanitary No.
-- File No.
Date 196
Application is hereby made for a permit to
i
. a ry, Type
✓� '
to be occupied only as
in a cordance with Plot Plan, Maas and Specification filed herewith,
Estimated Value of Improvements $
FEES _�� � Plan Check $
Owner 17- .x/ �,�.w.fsawl Address Q
Contr, O Address
Phone OZ'fe 111le 7S
State License l /f
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 �� FEE$
ContrAddress
Phone _— el �5-.A —17 J State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date - 796 GAS FEE $
PLUMBING FEE $
(5')`J
Phone.— � � +� 73Sa State License d
Approved
APPLICATION FOR APPLIANCE PERMIT;C. e
Date 6 196 7/ FEE$
Contr, O Address
Phone __ L %A � 7 S—A-10 State Licensee 1901 5F -
Approved;
Applicants agree not to violate any of the (I.
Workman's Compensation Laws of the _
State of California .
RECORD OF INSRECTION APPROVALS
BUILDING
C �� E2WSPECTOR MISC.
PAD FINAL r—•��
FOUNDATION
UNDERFLOOR
FRAME'
LATH & PLASTER
GRADING F A
FINAL-B
ELECTRICAL
INSPECTOR MISC.
NN9Eit9RlDbwv UGH '7 .eoticQ
ROUGH WIRING—
FINISHED
IRING FINISHED WIRING �^
FIXTURES
MOTORS
FINAL Y �^
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR - MISC.'
BACK FLOW.RED.
SANITARY NO.
UNDERGROUND ROUGH -7 '
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS---,L-
FINAL
AS
FINAL APPLIANCE
a .
DATE INSPECTOR MISC.
MISC
1
MISC
MISC
I
CITY OF ,CUPURTINO
10300 Torre Ave.
CORRECTION NOTICE
Departmen //nn
Job Located at -�l(.3. : .. ✓1!/L
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the.inspector
252.4505 Date: --
City Telephone Inspector: ... _..-
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION- NOTICE
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Deparlment
Job Located at .../.�/_.���
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You.are hereby,.,gpti- t a� mote work shall be
done until the above• io tions are corrected. When
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correction's; have" beem•mad"e call t e inspector.'
'.Date;
252-4505 !!!-,
Citye,Telephone;,- . ., Inspector::."^.
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CITY OF CUPERTINO
10300 Torre Ave.
C.ORRECTI N NOTICE
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Departure
Job Located /at .111-5(o � -.
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made ca111 th ;nsptor.,
252 r'
252 � 2Date: -
City
Telephone Inspector: ----
CITY 00 CUPERTINO
10300 Torre Ave..
CORRECTION NOTICE
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Depa tmentp
Job Loc d at Z3 ...PCo -:/. -+A/a:.. !�
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You are hereby notified that no-more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
Date: L' a ^7
252.4505 -
City Telephone Inspector. ..-Asa
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