51189 - CARPORT #17 l0/AD
c1 � ` N.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Date' F 196,
Application is hereby made for a permit to
o story, Type
to be occupied only as
in accordance with Plat Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ Plan Check $
Owner QP4 4 Address
Contr. Q Address
Phone / t1l19 State License
C;� i 7 .. . Approved ....
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
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
I Phone Staie liconse
Approved
Applicants agree not to violate any of the
Workmanrs Compensation Laws of the "
State of California
RECORD OF INSPECTION APPROVALS
AoF /Wpecr-ow 7 -6-7b g:
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR •
�
FRAME77 � � ! 0 • •
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRIC
INSPECT MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL y�
Se
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC