NO PERMIT NUMBER (63)�o
No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to ` 6 196
Application is hereby made for a permit to
a
to be occupied only as
e - S3
Lot No.
Sanitary No.
File No. 6 �e;moi
story, Type
in accordance witfTlot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES Plan Check $
Owner Address r�
Contr. Address -SP0/ (Q-�
Phone -s- State License -W`100 9 J' ii
Approved ef-�) /
APPLICATION FOR ELECTRICAL PERMIT
Date
196 FEE$
Cont',
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
196 GAS FEE $
.
PLUMBING FEE $
Contr.
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 Laws of the. '
State of California
PAD FINAL _
FOUNDATION.
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
UNDEF
ROUGE
FINISH
FIXTU
MOT 01
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
NSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
WIRING
ED WIRING
RES
S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW R.Q.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR M
MI