NO PERMIT NUMBER (7) loe7G I Lot No
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. /
File No. `s��a'�p
' Dote 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot Oan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES Plan Check $
Owner Address
Contr. /__l.✓WR+.Nnp. C.!'1..a.V tlJt Address CPO" `i^p",c"t'a'�'sLw✓ �y '�C
Phone State License SO/ ,(A."'�e A
Approved GC//��• ��+-�_�
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING .& 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
�t Approved
Applicants agree not t�,violate any of the "
Workman's Cnmpen��tioin Laws of the
State of California � ,
Y
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL J
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH C
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
Ild T !✓A 7 E, 0 dr O r4e,
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE 7
MAIN DRAIN 3i
FINAL PLBG. �� 7Q
FINAL GAS �� �� 7c• •�
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
p CITY OF CUPERTINO
p�016. L- 3 GAS VIuA SE'RRA
RELEASE Q
_• / oS7AIRC OHS-telaw6a
F0
10
S_ L_70 �.
DATE INSPECTOR
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
3..: 6.. 70
I... . ...
To
You are hereby authorized to conned the GAS service for
Owner or Tenant ...NeoATH.ER../J...... oNJTt.......................................................
AtJ.C>.3.�9...._.._1N.O. ...... LtZc N.t.......................... .....................�../.................
New Service ...............
No. of Meters ....... ............ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move
nMeter ,........................
PLUMBING INSPECTOR
6LD(,. 3
GAS SERVICE NOTICE P G & F
COPY
BUILDING INSPECT'OR'S OFFICE
CITY.OF CUPERTINO
.. ........3.. ...-...70............. .. .........1 496--- --
TO
You are hereby authorized to connect the GAS service for
Owner or Tenant ...M."-f-H.F-A C a .......................................................
At ...i.0.2.70.........N.o........Y:7.761.(a r
(p...........................................................A.......
No. of Meters ........F............ New Service ..,--.-,< .............
....... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
J.�i - MBAlNtPG..A&LNSPE INSPECTOR 0...R...... .........
PLUMBING