FILE 51259.5No.
/7�kd Lot No.
Street
CITY OF CUPERTINO 10-7
APPLICATION FOR BUILDING PERMIT
Sanitary No.
t.
File No. ��"2S %J
Date % '�� 19 %2J
t
Application is ,hereby made for a permit to
C - a story, TypeyS''`s
,p
"e -
to he occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $ /000
FEES- /0 O� Plan Check $
Owner �f Ca"k Address
Contr• ''�///• Address
Phone 7 State License .2
Approved � � '
Date
Cant,
Phone
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEES
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1 -
APPLICATION FOR ELECTRICAL PERMIT
Date
19 FEES
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
19 GAS FEE $
PLUMBING FEE $
Contr.
- Address
Phone
State License
Date
Cant,
Phone
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEES
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1 -
PAD FINAL,
FOUNDATION_
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
UNDER
ROUGh
FINISH
FIXTU
MOT OF
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
WIRING
ED WIRING
RES
S
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
NO. STREET '
za CITY OF CUPERTINO • ��'
Wz
¢o of�PERT"o APPLICATION FOR BUILDING PERMIT
S6L ?, liOw I
WU 179
y Sanitary Per. No.
� o Applicatign i0ereby made for a permit
o F A LJ
l-
> a� story, Type Structure
Q N to be occupied only as
WW in accordance with
a Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $�
_o o Estimated Value of Improvements, $ 7 Fee $ G .�►
>,
O< Total Fee $
Z ' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
Z
and all other laws applicable to the construction, location, and use of buildings within
3 a the City f upertino wi be c plied with.ress
W
w
W Own r AddO �� ter! �•�
W /ao
<
Q O B Address
UIrr�1
Contr. or Agent._
Phone�r0 �/� 7 / z) p Approved
V State License Al -- /J V71 Building Inspector
-7- 40-3
NO. - STREET sl,IY'7
W
d CITY OR CUPhRTUIO .CITY OF CUPERTINO
W
,Vco SEP 21 JWLICATION FOR BUILDING PERMIT _
Building Per. No. JfS
W U Dat AAQ19�, Sam ry Per. No.
l-0 App ion is hereby made for a permit td=
0 r
o ~
sa _ story, Type Structure
�
¢ v, to be occupied only as in accordance with
ww
i F Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $
20 Estimated Value of Improvements, $J(/Mn Fee $
�N
o rt Total Fee $
Z It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
Z and all other laws applicable to the construction, locatin,Sd use of b dings within
3 c the City of C ertmo will be lied with. CJ//
W m 6 ZEe�Q/
z
W. Owner
Address
Of
Q O ev Address
— U conhttr/or Agent. _
-Phone �Of�Y- 77/S Approved
State License Building Inspector ./
No. Street Lot No.
CR'/ Of C P20"o
APPLICATION FOR ELECTRICAL PERMIT
ITY OF CUPERTINO
v
0
V
Permit No.J����
Fee ate_
Application is hereby made to the City of Cupertino for a permit to install electrical wiring
and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or
fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and
all other laws applicable thereto. /
.1
Use
MID STATE ELECTIUC
By Address
an SAN JOSE, CALI�FORf�IA 95110 Appr
Phone ft
Electrical Inspector
State License, -1410