NO PERMIT NUMBER (3) 10088 S. Stelling Rd. (Sewer)
NO. T _ • LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARYNO._ 9502
FILE NO.
6/3/76
DATE 19
Application is hereby made for a permit to
a story,type
to be occupied only as Sewer Onl y
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $
FEE$ A-00 PLAN CHECK$
OWNER—T)nni Al Tvn ADDRESS
PHONE
CONTR, TPR Swinfnrrl ADDRESS—B"Qx 473 LosAltos
PHONE 377_9, Q STATE LICENSE 143554
APPROVED .T.A- Rnatn/h '
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.B EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. "
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FOPMS INC..LP
I
ELECTRICAL INS P CTI ON RECORD
RESIDENTIAL DATE INSPECTOR ,(COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND FI U FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
LOT NO.
' NO STREET
CITY OF CUPERTINO
cnv OP CVAPPOCATION FOR PLUMBING PERMIT
////'''. Sanitary No.
DateS� ,19-ZZ_ Permit No—,
Fee$ e
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino,and all other laws applicable thereto.
Use of Work To Be
Premises Pwformed . i h.
1
Owner"'6)4�.L4 G I,b' Address
Phone-
By By / Address �' � i.�...�z.! �as-1
Contractor,Agent
Phone
State License 1 ._1 :'1 Approved
lambing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S /
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. J
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