NO PERMIT NUMBER (3) �o4� Lot No.
No. Street 167
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
��
' + File No. J /�f"
Do to T196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot Plan, P 107
and Specification filed herewith,
Estimated Value of Improvements $
FEE$ s'� Plan Check $
Owner 1�/ -sem Address
Contr. /I�'t-'�O/ _J w"'�fj Address
Phone a s^� �a 33 State License----, ,f—,J 7` SCL
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Conte 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
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTORISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME ,
LATH & PLASTER "
GRADING FINAL�
FIN LDG.
ELECTRICAL
EIIATEINECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING .
FINISHED WIRING
FIXTURES
MOTORS
F AL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO. �� "'�'
UNDERGROUND ROUGH _oma
PARTIAL ROUGH !,�
ROUGH COMPLETE
MAIN DRAIN^-�
F L PLBG.
FINAL GAS c � -� '�
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
CITY -OF`CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
CLN ---------------
/0601
Department
Job Located at l 06 01--- -_
/.,..-.LN. .----M—c ac----Tq-G----TP--------------
P/e47 P.Im-Pllw.-.Gr.AA—).f17cx---&6-wbx,~,
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: -7.7.����. {.7a..- . ...-..-
City Telephone Inspector: IV ✓ .