NO PERMIT NUMBER Ole e, Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO p3 v
Sanitary No.
.File No.,�
Do to 2Z4zL 1962 2--
Application is hereby made for a permit to
° .i, story, Type
to be occupied only as
in acco dance with plot plan, Plans an Specification filed herewith„
Estimated Value of Improvements S
7 '�
FEES Plan Check E
Owrmr Address' `
Contr. Address 7
Phone 7�` ��3/...>' State License oZ ✓ ���
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Cant, Address
Phone State License
Approved
FOR APPLIANCE PERMIT
Date APPLICATION,196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Campensation Laws of the
State of California .
., t
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.- T
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 7
FINAL PLBG. 7Y
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
y
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE -
C` Sewer Connection Sanitary Permit No. ....h..ja
..............
[Plumbing Final Plumbing Permit No. ... 3-��3/
f Lot No. ............
T ........
li Owner or'Tenant .......... ... 7eep �-t . -a^......_.....
(,J -•---------�--..:. ..,� --------------------------------------------
At _..... ... .....
----------------------------------...----
i
Tract �...................... ........--- "----
----------------
Date Connected ..............
--------
-�.. ....- ....... ..... ....... _
.. -
------*-------- ---
- --- 19-----------
DateFinal �.P.. f f� 2�_------.........................---------�---------p-------�19............
PLUMBING INSPECTOR