NO PERMIT NUMBER (6) Q�O 'u W•t Lot No.
No. _ Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO Q .7r
Sanitary No. 7 r /
.'� .. File No.
Date 196
Application is hereby made for a permit to
Of a story, Type
to be occupied only as
i accordance with Plot Plan, Pla and Specification filed herewith,
Estimated Value of Improvements $
FEE$ : *-.O� AA- Plan Check $
Ow r,er /4n//yeG/rC.j.Lwt.C.^/ Address
Contr. L Address
Phone 02%�,ij ' S, p J State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
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
Date 196 FEES
Contr. -Address
Phone State iLicense
Approved'
Applicants agree not to vinlate 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 FINA
F,UIAeL
ELECTRICAL
DATE INSPECTOR .TSC
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS—
PLUMBING,
OTORSPLUMBING, GAS & APPLIANCE'
DATE INSPECTOR M _
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH -�
PARTIAL ROUGH/'
H COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC HIE
- Bldg. Dept.
p Office COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ....
.�3..
.............
I
R' Plumbing Final Plumbing Permit No. ............SI� G
LootNo. ...............................
Owner or Tenant ..........:r!....: .a.L. .ot. ::J........._.................
At ....... z....
Tract ............. .Z�1r:. .:.............- - .... ................--....
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Date Connected ..:....... ' ..1v
Date Final -----------!✓.:_J.P- l U
............................................................... 19............
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PLUMBING INSPECTOR
CITY OF' CUP5RTINO
10300 Torre Ave.
CORRECTION NOTICE
-----------------------------------------
Department
Job Located at
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You are hereby notified that no more work shall
done until the above violations are corrected. When
corrections have been made call he inspector.
252-4505 Date:
City Telephone Inspector: ... .......
CITY OF CUPIERTINO
10300 Torre Ave.
I' C 0 R kjTION NOTICE
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Departmen
job Located at
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the ins ec or.
;h
252-4505 . Date: -------S-- 21 -'70
..................
City Telephone Inspector: . .....
CITY OF- CUPERTINO
10300 Torre Ave.
COMMON NO-TICE
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Job Located at - I -------------X16cff—
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call,the inspector.
252-4505 Date: ... ---------------
City Telephone Inspector: