NO PERMIT NUMBER (2) r
/a-t No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Date 196
Appli cat' n is hereby made for a p o
a ory, Type
to he occupied n y as
in accordance with plot Plan, Plans and Specification filed herewith„
Estimated Valae of Improvements $
FEES Plan Check $
Owner --� �� Address t/�
Contr. Address "L6Lq L
Phone �9�• S.340P State Licensee /-ak' 2'��79 �./
Approved w
C�
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �'� 196 GAS FEE $
_� //✓� �f�i �/ PLUMBING FEE`/$
Contr. w��- "'Y� V_'/� !/ Address
Phone ..,.2 Cz C -S3 0
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr, Address
Phone State License
Approved
Applicants agree not to violate any ofthe ,
Workman's Compensation Laws of Che
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
4T SPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
ATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
- - DATE INSPECTOR
MISC DATE INSPECTOR