51189 CARPORT #20 IG�MI C .Lot No.
No. Street IV
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Date 196 12 ..
Application is hereby made for a permit to -
a story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ -Plan Check $
Owner Address
Contr. Address
Phone �i �� .� State License
Approved
ori • � � y- �
APPLICATION FOR ELECTRICAL PERMIT
Dote 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $'
Contr. Address
Phone StateLicense
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
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 L
FRAME v
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH-
ROUGH
OUGH 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