NO PERMIT NUMBER (8) C) Lot No.
No. Street
CITY OF CUPERTINO
APPLICATI ON FOR BUILDING PERMIT
Sanitary No.
Do te 19 File No.�j
Application is hereby made for a permit to
to be occupied only as —a — story, Type
in accordance with Plot Plan, Plans and Specification filed herewitk
Estimated Value of Improvements $
FEE$ /'9 J2— — Plan Check $
Owr,or Address
Contr. 'V/(�
Address
Phone v .3 State License
APPLICATION FOR ELECTRICAL PERMIT
Date 19 � FEES
Cent, Address
Phone State License
Approved -- -- I
APPLICATION FOR PLUMBING & GAS PERMIT
Dote _ 19 — GAS FEE $
PLUMBING FEE $
Cont, Address
Phone State License
Approved
APPL!5ATION FOR APPLIANCE PERMIT
7
Date —4LZ=— 19 — FEES —/a-
Contr. Address
Phone 0 4—/C, State License 1,3 7,P o .3 C �-v
Applicants Approved
agree not to violate any of the
WOr1cman's Colpcll,tion Laws of the
Slate of California
PD-1 -
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR misc.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.—
ELECTRICAL
DATE INSPECTOR misc.
UNDERGROUND ROUGH-
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR misc.
B�AACK FLOW REQ.
SANITAR D Y NO.�-
UNDERGROUND ROUGH—
PARTIAL ROUGH-
ROUGH COMPLETE -
MAIN DRAIN-
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR misc.
misc
misc
misc
CITY OF CUPERTINO COPY'
GAS SERVICE NOTICE
To ....... 19
You are hereby authorized to connect the GAS service for
Owner or Tenant ... ....4,
At ...
New Service . .....
No. of Meters Reconnect . ....... ........ .....
Move Service ... .... ..... .......
No. of Add. Meters . .. ...... Move Meter ...... .. ....
PLUMBING INSPECTOR