NO PERMIT NUMBER (4) _/A2O �I .," joo [ Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
7 A ile No.(;
Date .�196 .�
Application is hereby made for a permit
a story e
to he occupied only as
in accordance with plot P n, Plans Lad Specification Jile herewith.
Estimated Value of Improvements "'q f�S
FEES —yLC
�✓///AA__ '' Plan Check E
Owner
Contr. Addres��`3 d 0
Phone ��Ja.,,?) 7 9 —�yLy 0 State License rx C
Approved L-
,lc.
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $
PLUMBING FEE $
Cant, -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
5tate of Ca Lifnrnia
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
516N AOA7Rl Tod c.r cf V As ft& PRt✓/ 7
FINAL BLDG.
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 PLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/c3f�S- sA2,OTCG.4 SL//✓.11j1AL� ZO,LOTNO. + I
NTREET
CITY OF CUPERTINO (vAL•.
CAP. Sl _
i < APPLICATION FOR BUILDING PERMIT FEE—
z
S-L
F ¢ Date_ .�y -�4 2% '19—:2&/. Building Per.No. _
0 QQ �'�G''tt��,,, Sanitary Per.No.
3 v Applif5ti6h(is here Pmode for a permit to OLAJ F� T/ 6bAJ
astory, fy�e q c-�'� "/ r - Structure
O a to be occupi�t my as in accordance with
Z v) Plans,Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,
u_ PI Ck Fee$
O O It is hereby agreed that the requirements of the /7 �F-o
a Cupertino Building and Zoning Ordinances and all Fee$
O~ 3 other laws applicable to the construction,location,and
Z 5 use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
O
3 �
- „`, S,0/3!/c30S Sae4TQ„t syuvy�4l.� 2.D
w w OWNER PHONE ADDRESS
AD A 27- 7� t
CONTR.OR AGENT _ /-ADDRES � NGS
- V ;2k'7- .2y7 97 IX
try.- PHONE STATE LICENSE BUILDING F4SPECTOR
No STREET
W 2AP LI T TOR BUILDING PERMIT
i �
r ° D C �OF CUPFRTINO
a
. ° a 1� Sanitary No.
30 9 Fi9
Unre � � 196_ Fermis No. 0
o nAppli iois hereby
ma � to
a N a togry Building
,w. to be Occup n y as i 3 m accordance with
���
ao Plans, Specifications and Plot-Plan �file77d he wlth. Pl Ck e
F ; Estimated Value of Improvements, 50Z��Q v� Fee a %S—4,Z o
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City of
d o 3 Cupertm will be complie ith�m OwneAddress
BY ` Address 363a —
Q u Phone F2 '3 17-7 �f
Approve
\� State License BUILDING INSPEC-oa