NO PERMIT NUMBER (2) Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
7 File No. 7�oZ
Date 19
Ap lication is hereby made for a permit to
a _ to , Type
to be occupied only as
in accordance with Plot ftfart, Pla s and Specification filed herewith,
ci
Estimated Value of Improvements $ �6
0
FEE$ q Plan Check $
Owner .. ��QA y� ��..�C Address
Address
Phone �t� ' i 1"� State License c�2/ 7 72 o //
Approved !✓ mac./%
U
APPLICATION FOR ELECTRICAL PERMIT
�p 0
ateZZLO
Z / 19 —22— FEE$
Contr. t'LCl4f�YP� ��Cf//C— Address 5?n �T� 7GYJ LOS-e
--7 T
Phone /� �� � � State License 2D6 7;�0 6-10
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 19 GAS FEE $
PLUMBING FEE $
Cant, Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Slate of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL T
FOUNDATION L
UNDERFLOOR
FRAME
LATH & PLASTER
_GRADING FINAL
FINAL BLDG. v
ELECTRICAL
el-T INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINALGAS
FINAL APPLIANCE _
DATE INSPECTOR MISC.
MISC
MISC
MISC
IJ6'/0 Ae/7 (_61&e7/,VO
CITY OFN,PERMO Street / Lot No.
JUL 6 1972 CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT �3
-�P Aat� � 19 ' Sanitary No.
v � Permit No.
Application is hereby made for a permit to 1/UST,4/L /No.
a o
3 _ a story pe Building
75 u`o to be occupied only as &� / `�"'��..1 Iccordance with
o := Plans,Specifications and Plot-Plan filed he ewith. PI Ck Fee
T m
C
A s Estimated Value of Improvements, $ Z O Fee G 0
v
6 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
A Cupertino will be complied with.
_ G
.3 A Owners Q 6_ Address l/1 %//f_ ,�
�A
a By Addr — �✓
Phone ._2,,1'6 �a /(7 Ap rove_2,,1'6ve �
u
State License,x / 773 p Building Inspector %
CFt`DERaL S/GN Cp) ✓