NO PERMIT NUMBER (4) (Water Softener Only)
22392 I :'CARNOUSTIE COURT
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51073
Sanitary No.
Date 196
Application is hereby made for a permit to
to be occupied only as 4
in accordance with Plot Plan, Plans and Spefico filed herewith,
Estimated Value of Improvements $
FEES Plan Check $
Owner _. Rev. Oliver Ruud Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING b GAS PERMIT
Date 7 196 `� GAS FEE $
PLUMBING FEF $ ez
Contr. � Address
Phone .3 7 — SC/ '� State License
. ' Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Conir. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the _
State of California -
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Ins pe c for
LATH & PLASTER
at spect
FINAL
Data E., Ins ce ctor
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
Data Inspector
FIXTURES FINISH WIRING
Date, Inspector
H,P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
TOTAL FEES FINAL Date Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIALRAO
MAIN DRAIN FEE G ws� Das•/ In actor
OMP D
I
STORM DRAIN FEE MAIN D n ctor
I s' h klector
WATER SYSTEM FEE �� A
a for
GAS PIPING FEE INAL
Dats ns
PERMIT FEE MISC
•
TOTAL FEE � �% MISC Inspector
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector