NO PERMIT NUMBER (4) I � . icz /4 r( C- 7 O
I O 7 O Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. `s /.� `
Do to (O 6 196 -7--
Application
96 -7- -
Application is hereby made for a permit to _
a story, Type
to be occupied only as ����
in accordance wit Plot Plan, Plans.and Specification filed herewith,
Estimated Value of Improvements. $
FEE$ Plan Check $
Owner Address
Contr, . �rG Address 0
Phone J `7-'3 t State Licensee
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
.. . Approved,
APPLICATION FOR PLUMBING 8, GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. 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 Cnmpensation Laws of the -
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL gyp/
FOUNDATION 43740
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL /1 n
fV
FINAL BLDG. � � 7
v
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 INSPFCTOR MISC.
MISC
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
^7 CITY OF CUPERTINO
Date .... ... .. .... ../..Q-.......... S9-'........ Building Permit No. I
/o Fr 7U X10. SrEZu.! o.
The Building ppLocated at . ................. ../...'..-... - -...-... � ....-�......-.........
Owned by ---l�I.Q.RTH- -E I ... .. ..G.O! 7------
.--C�p'.................................
(Completed)
/�
Has Been �� For Use As: ..................1/F}.R.�O R.-r�.....-:..._.-..-.--.......
. -----.--------.----.....----------------------...-...--..--.----------................. ...........-------.
-------........-----...--.......---.............---................---.._...------.............._.----............--.............---.
....------ ...........�. V. ..
......-- ---------------
---------- -- -------------------
BUILDING INSPECTOR