NO PERMIT NUMBER (2) r �
to -? 7
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Do to 196�.
plication is hereby made for a permit to
a story, Type
to be occupied JKly as '�V i /
v
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES 3 �� Plan Check $
Gwr'er d'i_yA , Is—, s Address
Contr. / Address
r
Phone State License 4-,r-240 �1
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved �.
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License,
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
I
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
"DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
' DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
• DATE INSPECTOR
PLUMBING & GAS.
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE RECTOR
FINAL
DATE Op INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
t!
MISC DATE INSPECTOR
MISC
� DATE INSPECTOR
7
MISCDATE INSPECTOR
72 J&�a e LLQ'�CL�� LOT NO.
N� STREET
'2 I
dTY O,: CUPcCITY OF CUPERTINO .
Q0PUCATION FOR PLUMBING PERMIT
DEC .1 51975
�p Sanitary No.
Dote ✓/1— —,19�� Permit No.
Fee$
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the.City of
Cupertino,and all other laws applicable thereto. /
Use i � Work To Ba
Premises Pe formed M l_T/t/ T/
Owner Address
Phone '0) �� 6
air ��"
,y���� �7�f—o J�
J a�yA7ldress
Contractor Agent
i
Pone 114 7
S1ote License Approved
Plumbing Inspector
r., I�AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S .
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
®LA
_Q
u �
W
(7 W N
C
K 7 Q N Q
E o
w 0 0 0 0 0 rbi O p o M O X O O
in f r H F- Z N f r 0 N f iZ :E 4i
W d
- - - - - - - - ---- - ----- - - - --
- - - - - - - --- --
m LL
� r
7
T
C GAJ C y r d
O C
b 4 4 N "
F = U d po c
Q d � � L L d N
LL 3 0 N j > j
3 3 a40 N Y
3 3 > ' > m V O 0Z O N Q N rc 7 N LL a
70176 le/ /7 LOT NO.
NO - STREET
""S4'LO CITYOFCUPERTINO
Or: 1g10 APPLICATION FOR PLUMBING PERMIT
s `� y p Sanitary No. -
C.�• /� tq 70 Permit No. /
T-- - Fee E
Date �"�
Application is hereby made to the City of Cupertino for a permit to install plumbing
,pipes and/or fixtures listed on the reverse side hereof, and agrees to install said pipes
and/or fixtures in accordance with the provisions,of the Plumbing Code of the City of
.Cupertino,and all other laws applicable thereto. .
use of Work To Be
Promises�� Pwfoimed _
Owner l�✓rte• hh 65 Zi��j/4 S0h Address
Phone -"-r- 2z 7 C
By Address _
'Contractor,Agent
Phone
State License Approved
' Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF HE WORKMEN'S
COMPENSATION'LAWS OF. THE STATE OF CALIFORNIA.
® LA
r W -W
Z r Q
Q C Z N LL
OC 7 Q N
2 O �-
S W
Q 5 C Q O y Y
O .O �0. .No O .0 O..
N « U d w V' y v v
FV v «a m E m 'E o
w 0 0 0 0 0 H O -O"p,,. 'H Oki` k o o O r0 '.
fin` � �
m u
C p E
N Y .. V �.
W. v s b O O y N >. d. d
OC O
O O N O d -
.O N >
K S U r � G
r 3 0
00, o" owiE c c o` 0 � a
o p
po o > � 0000 - o-� do � = 'o
33 ,5w9xa. 3333,
: ° � .a3' � �