File 572No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.'
qFile No.
Do to ,—S=am 196 1
Application I atr^ion is hereby made for a permit to
t �N a
to be occupied only as \ % p%M
story, Type
Lot No.
in accordance with Plot Plan, Plans and Specification h„
�cification filed herewit
Estimated Value of Improvements $ ��l.J,2
FEE$ \� ` Plan Check $ h 1_1
Owned ®ii 11T2Q1�V Address IO `� V.iQ`�Al�
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Cont'. _ t "-- t; ,w Address 'J3�1� Z6LAM Ama
Phone 2s `- a�O ,
State License
WILLIAM D. BENEVICH
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
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
1% FEES
Cont,.
Address
Phone
_ State License
Approved
Applicants agree not
to violate any of the
Workman's Compensation Laws of the
State of California
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
UNDEF
ROUGI
FINISH
FIXTU
MOT 01
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR
t O
i
ELECTRICAL
n ATF INSPECTOR
3
MISC
MISC.
GROUND ROUGH
WIRING
ED WIRING
RES
S
oAlK rLvrt rt.V.
SANITARY NO.
UNDERGROUND ROU
PARTIAL ROUGH _
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS,
FINAL APPLIANCE _
MISC
MISC
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
0
9
MISC.