NO PERMIT NUMBER ��Je .S. S7'ELG /trlfC ,� Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. G 701
File No.
qq s
Do to ✓ 196
Application is hereby made for a permit to
a story, Type
to he occupied only as
in ccordance with Plot Plan, P ns and Specification filed herewith.
Estimated Value of Improvements _ $,
FEE$ Plan Check $
Owner CzWI.-- Address /f
Contr. Address 17 c a ...d
Phone a X-eg;' State License /.at.�i A7 0
Approved Q"s•KJ..r+.a 7
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
i
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr, Address
Phone 'State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 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
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING. GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW RJUGH
SANITARY NO
UNDERGROUN
PARTIAL ROU
R
MAIN DRAIN
FINAL RU69.FINFIN
DATE INSPECTOR MISC.
MISC
MISC
M15
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No. .67A.1--------
M Plumbing Final Plumbing Permit No. /0.0,--2.07-
LotNo. -------.....................
Owner or Tenant ---- CRA .w
2.5
At .../0-3-70-- - S-0......... 6.0!�
Tract .................................................................................................................................
Date_ca:vnee�ed Re------Cl_,k- KrED.. ... ------------ 19---.........
Date Final
6-------------------- ......... 19--..........
A,
---------------
U PLUMBING INSPECTOR
/0 3 7 0 n ,I.AGM., A'k , LOT NO.
NO. STREET
APPLICATION FOR PLUMBING PERMIT
C TY OP CUPERTINO / r�
x o i�Y n� Sanitary Nu. y ! d
3 a Date i�- �" it No—/0—L oZ0
U 0-Fee $_ 7
Appjjca i n ereby made to the City of Cupertino for a permit to install plumbing
o a pipes!.and��rxnresp�sdtlp,lrgverse side hereof, and agrees to install said prices
i m` and/or fixtures in actor an Puma�h�a provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
JW Use of Premises
00
> W � 9
a a Owner 9!J ! Gf� tp a Ir Address
ZJ Q
J ,
By.e/j �„'i''� ""�"'' .i Address 206 BB J tr &cr ex,
CO ACTOR, AGENT
3 W Phone 2 �;7/ 3
W z
WW
< 0 State License 2a �a Zt) — Approved
_U
PLUMBING INSPECTOR
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