FILE 51167i
I ___, , ! .
No. 'Street .G+. ..
APPLICATION FOR:BUILDING PERMIT
;CITY OF,CUPERTINO
Do to ._� 196.
Application is: hereby made for a permit to
to be occupied only as
:File 'No.
Sanitary
.story, Type
/a i r
in accordance with Plot Plan, Plans ..
and Specification filed herewith
Estimated Value of.lmprovements s .t•s s t%•
FEES _. .3. Or7 Plan Check $
Owner %.VQ/AA, _A..Z/: iLr Address "'oto
Contr. IOJ'199��' p,rQA,aw[i Address .
Phone ds IO a� State License /�/
Approved I W JLQ• tC7dntp ekr.K•�
1
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone
State License
'
'Approved
APPLICATION FOR APPLIANCE PERMIT
Data 196
FEES
Contr.
Address
Phone
Stu to "License'
Approved "
Applicants agree not to violate any of the
Workman'sCompensation Laws of the
.
State of California -� ,
RECORD OF INSPECTION APPROVALS '
'BUILDING
FOUNDATION ' _I
UNDERFLOOR
FRAME
LATH 8 PLASTER
FINAL
INSPECTOR
' ELECTRICAL '
ELECT.
UNDERG
ROUGH
FINISH W
FIXTURE
MOTORS
FINAL
SERVICE
WIRING
3,
.. _� .. ..,
DATE
DATE
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DATE
'DATE
INSPECTOR
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ATE
DATE
....INSPECTOR ..
IRING
DATE
A
INSPECTOR
' ELECTRICAL '
ELECT.
UNDERG
ROUGH
FINISH W
FIXTURE
MOTORS
FINAL
SERVICE
WIRING
3,
.. _� .. ..,
INSPECTOR '
DATE
INSPECTOR
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'DATE
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DATE
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IRING
DATE
DATE
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S
--
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........ DATE ...
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n
DATE
INSPECTOR
.. .,, .. ', DATE
INSPECTOR
PLUMBING-..& ,GAS;,.::'..'I
ERGROUND ...
DATE
.. _� .. ..,
INSPECTOR '
DATE
...
INSPECTOR '
f IAL ROUGH .....
... _,... _ . ,,
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"- DATE
- DATE
INSPECTOR
:H COMPLETE
...
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DATE
INSPECTOR
DRAIN
DATE
DATE
INSPECTOR
PIPING
--
DATE
INSPECTOR
,. ..
.
'DATE
INSPECTOR
„DATE
INSPECTOR ,
.. ..
DATE
.... ...
INSPECTOR '
INSPECTED
APPLIANCE
- - -'
MISC
"- DATE
....INSPECTOR
MISC
DATE
INSPECTOR
MISC
DATE
INSPECTOR
DATE
INSPECTOR