FILE 51139 'r
qR0 �a � Lot No.
No. Sire
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Date / 196 �L
/ A Application is hereby ma*dde�for a permit to (fie'_ eA�" s
� 7'yP
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ aZ d' Plan Check $
Owner R/Lt ` J Address
Contr. Address ` 1
Phone wl r��.Sr State License
Approved 4(dr) sem.-wt.L �i
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Conti. 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 196 FEE$
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 INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADIN FINAL
FINAL
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
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
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No. treet Lot No.
MY OF CUPERTINO CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
A�Ge 5 1971 Sanitary No.
`� D❑aTi
' 19
YRpAtiAn Wreby made for a permit to
`oo
3 a story,Tye Building
Z to he occupied only as in ccordance with
o —
° °.-' Plans,Specifications and Plot-Plan filed herewith. PI Fee
T m
m t Estimated Value of Improvements, $ Fee$ e,e
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
ACupertino will be complied with.
_ c
.3 .2 Owner\ LL Address
aBy Address
U Phone v1S Z S/J.� Approved WILLIAM D. BENEVICH
State License �t-�, � f Building Inspector
207 24 I .SCD F'1EL6 Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Data '11 AT 196
_ Application is hereby made for a permit to ..
a story, Type
to be occupied only as SS - s R QftkSA
in accordance with plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
�d
FEES �^+ ` '2 Q Plan Check $
Ownb
er As�A \ �Na Address awt WA
Contr. ALLAN W ONG— Address Sy( �pVEa/'UmQ
Phone -2Sq 411ZA State License "Px .2ry 41
Approved WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Data 196 - FEE$
Cont,, Address
Phone State License
Approved,
APPLICATION FOR PLUMBING & GAS PERMIT
Dote -l% 196 q GAS FEE $
//��
PLUMBING FEES$
Contr. W� %3 �ONq .Address 5k-�., -1-Wt nN� ,93 _
Phone — as) -ti3a State License 'C....�.11' , �q`1-74%
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 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
1
RECORD OF INSPECTION APPROVALS
t i
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
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR I r MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 6- 17
FINAL PLBG. CLEA -CU
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
i Ii r
MISC
I r,