NO PERMIT NUMBER (4) / t�-, /�J ///fin Q(
�0ll 6 Q I "e '<f Lot No.
Me. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. S/02-04
_ .'Sanitary No. $�
Dara / 196 � -
ApplicatipIL-igb_ereby made for a permit to
/ U" TYPe
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements '.40 Q Q Q
FEES 91 �fj Plan Check E
Owner r . /3 �4�-rr¢„ l"_ - Address
�j
Contr. X0.0—X 0 �7•'rA.tq'ddress 3A
Phone _5.- !f 'a State License .2�.dFy�f 7
Approved
9APPLICATION F ELECTRICAL PERMIT
Date t �/1.: 196 FEES — `��T �" \ �
r
Contr. /Zt7 3 /� 3 foo ,g
Address —
C �y r
Phone State License - i -3 ' 7<- k�
Approved - � •.+- /T
�T�i�
APPLICATIONiFOR PLUMBING 8, GAS PERMIT
Dore 196 L GAS FEE $ 3? J
PLUMBING FEE E k.Jv
_
Contr.
J Address
PhoneuJ� -3��a 9
— state License
Approved WILLiRivl D. BENEVICH
APP ICATION FOR APPLIANCE PERMIT
Date rte/ ���-- �+196 FEES �r�r�•�S�
Contr. :L.l.Cdg-41 Address !/�f-
Phone �ZW — '6/-9fl l/n State License
p/
Applicants agree not to violate any of the Approved _,(gyV// U
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION `
DA. E INSPECTOR
UNDERFL00 L9
OAT INSPECTOR
FRAME_ • ��'�
S��Kr D4TE /, � INSPECTOR
LATH PLASTER -fy
DATE INSPECTOR
lE
FINAL
JT L INSPECTOR
• MA •
ELECTR -AL
ELECT. SERVICE
INSPECTOR
UNDERGROUND b Lam'
DyfE INSPECTOR
ROUGH WIRING �' ' �N
D A E INSPECTOR
FINISH WIRING
DATi INSPECTOR
FIXTURES n I /`1'c
�AT 4 INSPECTOR
MOTORS
DATE � INSPECTOR
FINAL \L
DATE INSPECTOR
�o• 11=f.4- UG %7 vl%.
1VA ReAR. JUnVC► N" "Ir
PLUMBING & GAS
UNDERGRR�O�-U�CND 0
PARTIAL Tt0 H - - T
DATE INSPECTOR
ROUGH COMPLETE
T INSPECTOR
MAIN DRAIN— 0 a`�
DyT •� INSPECTOR
GAS PIPING—
FINAL
FINAL 7 E 5PE�TD .',
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLI E0K
INTTft�� SWAMP too,,o�
INSPECTED
7 ^I 7 —6q 9, NyrAtc 3ftC• pncereTurwnK
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
PHONE WEBSTER 3-82BO ) _
~ !PIP
Matt's Plumbing Semce
CONTRACT - REPAIR
7514 MELROSE AVENUE
LOS ANGELES. CALIF. 90046