NO PERMIT NUMBER (3) 1��5 � I VLnat , Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
p File No.
Date 71(/ a 19 �
Applicafion is hereby made for a permit to
s ory. Type
to be occupia only as -' �_.^V�� y Og _
t.+Gct.-CtiGti—�
in accordance a1h plot plan, Plans d Specification filed Merewith.
Estimated Value of Improvements $ /&-Z�v v+
r��
FEES q Plan Check E
Owner fe �^ Address
Contr. tel' Address L3(O C-04"'-e' a—'-'rV7-
Phone ��`S^—.PS^7S State License a�.jS/ ea-,)
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 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
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL 4
FINAL BLDG. T'a
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS-
FINAL---
PLUMBING,
OTORSFINALPLUMBING, 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