NO PERMIT NUMBER (3) £ Elect.
22044 I McClellan Rd. Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No.
Date ll/l/73 19
Application is hereby made for a permit to
n ,story, Type,
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES 5'00 Plan Check $
Owner Chester D'Amico Address
Contr. Sid Electric Address Box 237, Hayward
Phone 415-581-8433 State License 138284
Approved E. Murphy/h
APPLICATION FOR ELECTRICAL PERMIT .
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Cont% Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Conor. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
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
-Z2b4:4 I _ , LOT NO.
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yY {rill 1, 1 D�LICATION FOR ELECTRICAL PERMIT
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W W Application is hereby made to'the City of Cupertino for a permit to install electrical
s< wiring and/or fixtures as listed on the reverse side hereof, and agrees to install mid
i wiring and/or fixtures in accordance with the provisions of the Electrical Cade of the
f i City of Cupertino, and all other laws applicable there
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