NO PERMIT NUMBER (10) e- - .
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. Si3.�G
Dote 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordant with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $
FEES Plan Check b
0."er Address
Contr. X4-% w Address ��. y"c
Phone State License
/1� 1T�
Approved ens/ ✓i
f�
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $
PLUMBING FEE $
Cant, Address
Phone State'License '
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Latus of'the '
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. 74)
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MI
BACK FLOW REQ.
SANITARY NO. _
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH C11
OMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL
AL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
< I
CAE_ PnRI# 5�
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... J d.......70 ...., 19 ........ Building Permit No. . -.---------------
The
-------.------.The Building Located at .... 70 R�O• STEL rl�i• !`�.
-.. .......... ........ ..................._. ..... ..... .. ............
Owned by .... ��.......CQjt4T. Co. .....................
(Completed) R C� `
Has Been For Use As: .. ........ ...... ..P..: .....................................
--------------..................................................................................................................................
....-------......-........................................................ ........................`.............--...........`............
c
BUILDING INSPECI.OR