NO PERMIT NUMBER i
.24-S-xzr Lot No.
No. Street,'
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO ���j
File No. S//35;
Z Sanitary No.
Date =' 196 _.fl_
Application is hereby made for a permit to
.story, Type
to be occupied only as
in co ante with Plot Plan, ns and Specification filed herewith,.
Estimated Value of Improvements $
FEES Ton�
D Plan Check $
Owner I� � � Address Asa? —/�QO.
Contr, Address - Ot _
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr. Address
Phone State License
li
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH 8 PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
MAIN DRAIN
' DATE INSPECTOR
GAS PIPING
DATE, INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC DATE INSPECTOR
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN qq
..................�/./................................ 196.0
' To
You are hereby authorized to connect the GAS service for
Owner or Tenant �.�c... ...... ......................
.. ..............................................
At
New Service ../�......
No. of Meters ...._. .............. Reconnect .............................
�Ch'-�� ) Move Service _......_... .........
o. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR