NO PERMIT NUMBER (2) /oo / Z I Lat No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �y y
File No.ld o, O a0
� .�� Sanitary No.
Date _aa�196 60
/App�ltc�atian is hereby made for a permit to
E 'i'e-^- � ��"�'�� iy, ype
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements §
„r
FEES Plan Check §
C01 Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
v�
Date '� Z+� 196,CFEES
Contr. Address
Phone 1 State License 72 F�a/�`s-^
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE §
PLUMBING FEE §
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT J—
Dara a 1% i�y FEES
Cantr. �ry�,p!=;JLT.y-to/-r�.c`-�tJ �-c/ Address �� �r= +�—.-.,r�� • - p
Phone rl q d`S�1� State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the .
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Dare Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH & PLASTER
Date Inspector
FINAL
Data Insoector
ELECTRICAL
OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
II Date Inspector
�
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Pat Inspector
TOTAL FEES
k" O-� FINAL
D to Insp ctor
PLUMBIN A & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LLATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Dote Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC .,.) �*'^' alee, "1-
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE faS
INSPECTED
Date - Inspector
OvtoI�. •Street �Lm
17IZ CITY OF CUPERTINO
Y• PPLICATION FOR BUILDING PERMIT
WAVO 19u Sanitary No. O
e "P `(_� Permit o.
s 'E Application is hereby made for a permit to ( ♦'L �r t� 16V
3 � a story,Type' s Building
v to be occupied only as in accordance with
o
T Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
sEstimated Value of Improvements, $ G,W�u Fee$ d
o `~o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
m Cupertino will be complied with.
_ c
° Owner AZT $6UjG�_� Address
3 �
By �(� �, Address
tmb
o Phone_ 3Z7-SDS'0 Approved
State License Nor QQ'J wilding Inspector