NO PERMIT NUMBER (2) C—'Z . Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. 1
Data J/// 196 ?�
Application is hereby made for a permit to
a story, Type
to be occupied only as dz�- C4�
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ 4--G v
FEES —4-C-0"V Pion Check $
Owner Address �+
Contr, S✓��/"V� �'r�'s"/'�./ Address z-t ep r 044.4-F. -
Phone State License ar�� d }� r
Approved ��`� - !a
APPLICATION FOR ELECTRICAL PERMIT
Dote 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Cont,. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr. 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
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 REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC. .
MISC
MISC
MISC
-42
l� LOT NO.
NO. STREET
wLIT FOR BUILDING PERMIT
° y OF CUPERTINO
Y LL
° < Sanitary No.
W LL Uate b�^7AaLl�197
o I9�� Permit No. Z-
' o
rca s Is re ermit to
' Lal
CI i fur` Rfifau P a —
zln astorY�TYP° / �'X3 7 �d �� �Z ` Building
ito be occupied only as in accordance with
20 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, S _S /in i Fez S -5-0-—0
o <
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the construction, location, and use of buildings within the City of
L o Cupertino will be complied with.
37
_ N Owner ,-VR w AIR S . T R r f ria s Address /035.1 CAST r U6 djP
u i By 29d Ak S CA.,c>, Cn , Address 1.5 A5 L;16'al.. 4u�Y/E,
° Phone 21!r-SCR46 Approved WILLIAM D. BENCVIC
State License a.�3a r 9 BUILDING INSPECT