NO PERMIT NUMBER ✓AA �/ I ��/����F. �R Lot No.
No.
Street
,APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.��
Date 196 -7--
Application is hereby made for a permit to
a story, Type
In he occupied only as
in accor nce,with plot Plan, Pians and S cification filed herewith,
Estimated Value of Improvements $
FEES �7 Pt Plan Check $
Owner / � AdTA.r.a.o Address
Cant, Address
Phone 0 State License
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
Data 196 FEES
Contr, Address
Phone State License
,i Approved
Applicants agree not to biolate any of the
Workman's Compensation Laws of the
State of California
RECORD OF I+!SPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL,
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
I �
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
F-I Sewer Connection Sanitary Permit No. _471!18-- --- ---
Plumbing Final Plumbing Permit No,--,
. ..........
Lot No. .....-.—...
Owner or Tenant 6�_,WeK
a . ---------.............
--- -. .......
At w. ................
Tract
Date Connected ............
------------Q/__j...................................................... .....
DateFinal ............................A_?-—---- -------------- ---- ----- -------------------------- 1940..
----
AP ---------------------
L�MB&NC� JN�SPECCFOR
LOT NO. `
O. MEEI'
:AP CN FOR PLUMBING PERMIT
w i ® 1 P CUPERTINO
�®
Sanitary No.
r �
R Oj
3 o U Date - Permit No. _��9
W LL Pee $
, 0 ApplC;>1t: ty isgrebPppyb Dy of Cupertino for a Permit to install plumbing
o a pipes and?or fix s h hcaaddfo •t 1 se side hereof, and agrees to install said prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws- thereto.
W
4 Use of Premises
00
3 Owner
0 / �t Air Address 2,2-f-171. .,ryC.�aO.QI
O J
o By. Address
3 r CONTRACTORAGENT
- o Phone
State License Approve
PLIJM8ING INSPECTOR
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