51189 - CARPORT #19 No. Stre at(/
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
�+ File No.v�T
Date
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 $
FEES Plan Check $
Owner Address
Cont,, Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 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 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
6'orknum's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.'
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER -
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTO MISC.
UNDERGROUND ROUGH
ROUGH WIRING a
FINISHED WIRING
FIXTURES
MOTORS Q
FINAL • ��
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