51189 - SAUNA/aioo
No. Street `
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 1 196
Applicationishereby made for a permit to
a \
to be occupied only as
Sanitary No. `
File No.
story, Type V _ A
in accordance with Plot Plan, Plans and Specification filed herewith,
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone
Estimated Value of Improvements
$ —
FEES
Plan Check $
Date � �
Owner
Address
Contr.
Contr, l
Address
Phone
State License
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Approved �✓ �`T� 6 -
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Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date � �
42—
196 7d GAS FEE $
PLUMBING FEE
Contr, l
Address
Phone q �✓ �—
/
.t—d`7 State License 6 fgxq
(^1��^
Approved �✓ �`T� 6 -
APPLICATION FOR APPLIANCE PERMIT
Date
196 FEES
Contr
Phone
Applicants agree not to violate any of the
Workman's Compensation Latus of the
State of California
Address
State License
Approved
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
PAD FINAL_
FOUNDATION
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
ELECTf(I�jAL
DA� ANSPE OR MISC.
UNDERGROUND R
ROUGH WIRING_
FINISHED WIRING
FIXTURES
MOTORS
-y-7
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE