51075.1 109'771 ;1 • 'ti' Lot No.
No. Street
APPLIC TION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
/ Sanitary No.
Date 7 �' L 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot Plan, Pla7f and Specification filed herewith„
Estimated Value of Improvements $
FEES )// Pion Check $
Owner IVAZAI!" n� Address
Contr, q� 2A,, v---�7v�77---- Address
Phone < 6 7� -3 pa Y6State License
Approved tsrrt i 114s41 �
APPLICATION FOR ELECTRICAL PERMIT
Date �e 196 0 FEES I/
Contr. ' Address /o"
Phone a ia .Tf� State License 2-2- 11�Je 7
Approved d—.-.,X
+ .- "'s�1�1
51
APPLICATION FOR PLUMBING & GAS PERMIT �—
Date 196 GAS FEE $
PLUMBING FEE $
Cootr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree, not to violate any of the
Workman's Compensation Lows of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
Q�E INSP OR
FRAME �6
DATE INSPECTOR
LATH & PLASTER
D TE IN CTOR
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