51216, C-49e -LotKo.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Do to T 196
Application is hereby made for a permit to
n story,Type
to be occupied only as
in accordable with Plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES Plan Check $
Owner AA-ddress /nf
Contr. �� ��..i��s� • 4fddress /v6
Phone s �.; �� �� State License
Approved 4)kbe;s`�
u
Contr.
Phone
Do to
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEE$
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
APPLICATION FOR ELECTRICAL PERMIT
Date
196 FEE$
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote
196 GAS FEE $
PLUMBING FEE $
Contr.
Phone
Do to
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEE$
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
UNDEF
ROUGI
FINISH
FIXTU
MOT OF
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH -
I WIRING
ED WIRING
RES
!S
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
Q
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.