NO PERMIT NUMBER Sewer
10080 . I Randy Lane Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. Ail S RF
File No. 100,304
Date 8/6/73 19
Application is hereby made for a permit to
o story, Type
to be occupied only as Sewer Only
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value ofImprovements $
FEES 7.00 Plan Check $
Owr,er Spencer Wolf Address
Contr. De Anza Plbg Address
252-7154 256070
Phone State License
Approved J. A. Busto/h
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Contr, Address
Phone State License
#."I Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Califnrnia
PD-1 ..
i
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, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH-9I-7 - 7% 4
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/oGSo RAti o. 4AA-reLOT NO
NO. STREET rlws ma et
N Q`
CITY OF CUPERTINO Jam .ell
Yy� ;� APPLICATION FOR PLUMBING PERMIT
ir_
O J { Sanitary No.
m�•I ye ty_ Per
No.
HO Q+ ` Fae$2 -
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o Rpplication is hereby made to the City'of Cupertino for a permit to install plumbing
aw pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
m W and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a 1- Cupertino, and all other laws applicable thereto. e
J
O O Use of Work To Se
Promises PeAormed
O<
J owneerr Address
J O BV A e' A�' Z fl /-n L d%�Sddreas
3- Contractor,Agent 2 5.25.2t) (�
wZ Phone � i7'/ ti>sI
W
Q2 State Licanse? 5 O Approved
O Plumbing Inspector
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
16F- P6
19Sewer Connection Sanitary Permit No. .............. ----
, lez�
Plumbing Final Plumbing Permit No.,.....--.. ......
LotNo. ....................... ........
/7
fI
Owner or Tenant .... ........iw....... ...............................................
.......................................................
At ........ ..........
I ----------- ..... "a" '
Tract ............ ..............................................I.........................................I...............................
.Date Connected ..-....d-.-7--2.....Z3................................................................ 19--- ...--..
DateFinal .............'?.......�.'. ................................................................. 19------------
...........
................................
PLUMBING INSPECTOR