NO PERMIT NUMBER (2) 9229-931 Miller Ave.
NO. STREET - - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.
r
DATE 11-7 ig 79
Application is hereby made for a permit to
repair a story,type
to be occupied only as termite damage
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$1000,00
FEE$—_ 10.00 PLAN CHECK$
OWNER William M. R gi tz ADDRESS 21451 Eden Ct,
PHONE
CONTR expert Termite ADDRESS1125 Stewart Ct.
PHONE 733-8847 STATE LICENSE 5645
APPROVED
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
Ebo 1 eb —S
PRE-GUNITE FRAME —
BOND BEAMS LATH
WALLBOARDS-(IN .8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC- -
DIAPHRAMS
MOORE BUSINESS FORMS INC..L1
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH -g�I CONDENSATE DRAINS
ROUGH COMPLETE -f FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
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