51216-C-50No. Street V
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dote 196
Application is hereby made for a permit to
a
to be occupied only as
e - J -a
Lot No.
Sanitary No.
File No. 53.16
story, Type
in accordang with Plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Owner Address
Contr. C' C. Address &/a '�^++/�--✓ ws e
Phones�'3 —/,p State License
Approved [iL/IC7/[7t�ul�GJi
Date
.Contr,
Phone
Date
Contr.
Phone
Do to
Contr,
Phone
APPLICATION FOR ELECTRICAL PERMIT
196 FEE$
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
196 GAS FEE $
PLUMBING FEE $
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 & PLASTER
GRADING FINAL_
FINAL BLDG. -
UNDEF
ROUGI
FINISh
FI%TU
MOT OI
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH -
I WIRING
ED WIRING
RES
:S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR