NO PERMIT NUMBER .2,3 Lot No.
No. Street.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
�9 /� File No. 4-1117
Data 1Z —19
71
Application is hereby made for a permit to
story, Type
to be occupied only as
in accordance with Plot Plan, Plans an6 Specification filed herewith.
Estimated Value of Improvements $
FEES Plan Check $
Owner Address
Contr. p Address
Phone ����3/ e
State License /�Q��QQ
Approved tNr w&a�
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
I
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
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
i
FINAL
IN
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
^ DATE INSPECTOR MISC.
MISC
MISC
MISC