NO PERMIT NUMBER (2) Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
y
(Q� File No.
Dore � V L 196 L
Application is hereby made for a permit to
u story, T
to be occupied only as
i accordance with Plot Plan, Plaofand Specification Aed herewith.
Estimated Valee of Improvements $
FEES — /�yn �� Plan Check E
Owner �L 4� a M� Address '• /+/�+
Contr. /&, (J�w Llarf dllMr�s /Sri, 2+A+ �-Z�+ X.0 .r1
Phone212Tom?f 1+ State License ,}4A4-11eg, ` 4C ',a
Approved /
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
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 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State. of California
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RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION-
UNDERFLOOR
OUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
v
17
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
16121 I �C�TA Z LOT NO,
NO. Sn F.PT
j
�7- PPLICATION FOR PLUMBING PERMIT r a... A'
.W 11 �,..,— 4 'CITY OF CUPI3RTIN0 n
x ° �/1 \ _ �9E�� . . Sanitary No.
LL
o < nate ' �F 196—? Permit NO
3 u o3.'a~o
= o nr SII FIT, Pce $
Application is herebymade'to the City of Cupertino for a permit to.install plumbing °
o r pipes and/or fixtures listed oil the reverse side hereof, and agrees to nstall said prices Z
r and/or fixtures in accordancewith the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
.n Lrm
0 o Use of Premises n rCb
II o a Owner 4 S�" /'Ji ) Address �O/A 1/ LA
zJ 2(1klJra��+�� Addres ti
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NTRN:TOR; AG T
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— 4 Phone O� Y � tS 1
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° C2 3 7 90 Approved
WlL'Lt. ./I U. f�EVIGN,c�
a o Slate Licenset,
-i/ PLUMBING INSPECTOR
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CITY-OF CUPERTINO
10300 Torre Ave.
CORRECTION AOT I GE
BJ-N.-.G---------------------------
- Department
Job Located at
...................................
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?I----SHALL HA.V.F--- ----- -
r W. ..Z.-...Apex yip---(.: ......(3;,mm-
.......... ....... ------------ ........ .............. ...............
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---------------------------------------------------- ........
You are hereby notified that no more work shall be
done until the above violations are-corrected. When
corrections have been made call the inspector.
5,-2.1.te:
252-4505 Da . ................
City Telephone lnsp6ctor�. ��.._,I�A�---
N < NO. STREET LOT NO.
2
r ° APPLICATIONFOR ELECTRICAL PERMIT
.. .
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3 U �GIT,Y OE, CUPERTINO
WW 191161
11i _
= 4 Ir 2 1969 �11 Permit No.
LL W Date —__
o < Ice 5
aW Applicata n.is)iere by,madeltt§iUB, 1t7,6f Cupertino for a permit to nstar electrical
r wiring and/or` 'xtures as%fisted on the reverse side hereof, and agree to install said
0 o wiring and/or fixtures in accordance with the provisions of Electrical Code the
5 N City of Cupertino, and all other laws applicable thereto.
z J Use of Premises / � W / b�=
z �a/
3 aOwn Address T
N Address S !fie
W W By
F
CONTRACTOR, AGENT Approved _
U Phonc: _�7=q7- 7.212— ELECTRrCAL rNSPECrOR
State License. e %O a V
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