NO PERMIT NUMBER (4) Sewer
22044 I McClellan Rd. ; Let No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
San itory No. 8523 BF
File No. lflfl 929
Date 6/1/73 19
Application is hereby made for a permit to
a story, Type
to be occupied only as Spwpn flnly
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ 7.00 Plan Check $
Owner Chester D'Ami,, Address
Contr, Glage Address Box 961, Campbell
Phone 379-3010 State License 271492
Approved J. A. Busto/h
t
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr, Address
Phone Stare License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Dare 19 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PDA
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 C TE
MA DRAIN � 7 �t
FIN "(//r 7j /°ai
//
FINAL GASeye
O
FINAL APPLIANCE ]�/'(,�
DATE I INSPECTOR � MISC.
MISC
MISC
67
MISC
i
VMe. e ���'f--/_/err - LOT NO,
NO. STflEET ,
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w Z ;�Vp CITY OF CUPERTINO
o APPLICATION FOR PLUMBING PERMIT o♦ J ;
O Sanitary No.
Permit OV
i , y
W U ppq�b` � 19 No. UV
F=- 0 w Fee$ 7 1
LL 1
0 4 application is hereby made to the City of Cupertino for a permit to install plumbing
aN pipes and/or fixtures listed on the reverse side hereof, and agrees-to install said prices
,a w and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
c Cupertino, and all other laws applicable thereto.
JLL
00
Use of / Work To Be
stn Premises U�.� /.t Performed �Gr'f/r�✓t L•-r�`
Z J Owner I ` ( G(.� Address
J z O/✓u�' (7 C'/�'�9��i/�LZ
JO ByC I,LLC;r% Address
3 HCAntractor Agent
1,061 La Z Phone I
w �L
0 2 State License Approved do
OPlumbing Inspector
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-713
Sewer Connection Sanitary Permit No. ....... -----------------
Plumbing Final Plumbing Permit
.
Lot No. ....................... ........
Owner or Tenant .......(I.........'. ...............:- ... ....
...................... ................................
At ..... ......%T-r------( ----/?"/ ..
-----------------------------------------
Tract ---------------------------------------------------------------------------------------------- ---------- ----------- --------- ------
Date Connected --
------- . �3 ...... .............................. 19.............
............ .............. - ------
DateFinal ..........—.......7--------- .................................................;................. 19........---
.......................... ------- ..........
PLUMBING INSPECTOR