NO PERMIT NUMBER (18)Lot No.
No. Street v
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to 196
Application is hereby made for a permit to
a
to be occupied only as
Sanitary N
File No. .S / "-/JC
story, Typc
in accordance witWlot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Owner Address
Contr. �i ��1. 1/ �:.. Address 64-0�
Phone 5-23 —lk�el State License
,� 2- �
Approved I r /
APPLICATION FOR ELECTRICAL PERMIT
Date
196 FEE$
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING 8, GAS PERMIT
Date
196 GAS FEE S
PLUMBING FEE $
Cont,.
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
GRADING FINAL
FINAL BLDG.
UNDEF
ROUGI
FINISh
FIXTU
MOT OI
FINAL
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH -
I WIRING
ED WIRING
RES
:S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE