NO PERMIT NUMBER (6) /� t'/ I �,�"�'R'✓"7?J wr{�.� /C�( Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Date 196
Application is hereby ,"�e for a permit to
(( o
story, Type
to be occupied only as
in ccordancdZig Plot Pian, Plans and Specification filed herewith.
Estimated Value o4 Improvements s Add
FEE$ J
Plan Check E
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owner /� ��
Contr. - k` / Y Address
Phone 2— 17, / O State License /7�
Approved (F
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
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 1% FEES
Cont,. 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
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSP TOR
FRAME
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
' ATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
TE INSPECTOR
tCoC^FINAL Q�
DATE I N S P E C Tb R
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
GATE INSPECTOR
ROUGH COMPLETE
DATE 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