NO PERMIT NUMBER t
E
Lot No.
No. �O�.r/ Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
p - Fila No. 'rly 1'3
Date 3 // 196 7 G
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with plot plan, P la s and Specification filed herewith.
Estimated Value of Improvements E
g �
FEES V . wPlan Cheek $
n
Ower 06 1�.�.tl, Address
4V V
Contr. Address
Phone d c;k —3a' 1-7e State License
Approved
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
Date 196 - FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
r.
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR SC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER -
GRADING F A
F,.M BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS.
FI
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
JNA-Lf-l-BG.
FINAL GAS 'ftZT 3 ZO '
FINAL APPLIANCE
DATE INSPECTOR - MISC.
MISC
MISC r/'
MISC
a. / 00I Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO t
Sanitary No. 7"io
l;'o cc r+rvt'�noa
File No. J �y
Do to �L_._.tL�196 2
r I Application is hereby made for a permit to
a story, Type
to be occupied only as
in o cordance with Plot Plan, plan end Specification filed herewith,
Estimated Value of Improvements $
FEES �2 �� s Plan Check E
Owner Address 1
Contr. Address—?3 d '
t
Phone State Licens`se'�L y �
Approved ✓
M
APPLICATION FOR ELECTRICAL PERMIT
Date .196 i' ` 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 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
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS-
FINAL-
PLUMBING,
RSFINALPLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN fc.
Tree oC - C- o
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
i
I
MISC
I
i.
04"J.we
LOT NO.
No. STREr.Y'
PPATION FOR PLUMBING PERMIT
wa ITY OF CUPERTINO
z �,. '
Y o iW i Sanitary No.
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O < .S<<, 196_ Permit No y ], a.,
u
i LL Pee $
" ° Ap��}�c. i '[�'� �q�tlie City of Cupertino fora permit to install plumbing
o a pcl c and fi Tj 1Fsl� 61i��14e reverse side hereof, and agrees to install said Prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
a
2 LL Use of remises
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> N
r 3 Owner Address
z�
z B� Address
3 o CONTRACTOR, AGENT //
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o P State License Approved
PLUMBING INSPECTOR
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