NO PERMIT NUMBER (49). �y I ii
O 7 a Lot No.
No. Street v
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
I Date
196
Application is hereby made for a permit to
a
to be occupied only as
Sanitary No.
File No. Si3.�G
story, Type
in accordancVwith Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $
FEES Plan Check b
Owr,er Address
Contr. X4-% Nw.Address IV Or -/ Pd
Phone State License �
/11T�
Approved ens/✓i
a
APPLICATION FOR ELECTRICAL PERMIT
Data
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 Latus of'the'
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
UNDEF
ROUGI
FINISH
FIXTU
MOT OI
FINAL
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
WIRING
ED WIRING
RES
S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL
<I
(2Af-'Pna1W 56
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..-....70........ 19. . ........ Building Permit No. /G
- ---------------
The Building Located at .... 70
............................................. ........................... .............
Owned by .....1)1(>F --u ......Ga ^Gj. T. ..0 ............................................
Has Been (Completed) For Use As: ...
(A�� - --------- .....................................
------- I ........................................................................
......................................................................... ... ......... ---- --------- -- --------
. .... . . .. . ..
I
BUILDING INSPECTOR