NO PERMIT NUMBER (64)/d1? 70
No.
Street v .
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196
Application is hereby made for a permit to
a
to be occupied only as
d - 'j-'4-4
Lot No.
Sanitary No.
File No. .>ri.3�G
story, Type
in accordance Ph Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES Plan Check b
Owner Address
Contr. � Address d!�
Phone J , J �/a �j State License
Approvedy
APPLICATION.FOR ELECTRICAL PERMIT
Date
196 FEES
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
196 GAS FEE $
PLUMBING FEE $
Cont,.
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
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
UNDER
ROUGH
FINISH
FIXTU
MOT Of
FINAL
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
-
WIRING
WIRING
ED WIRING
RES
!S
PLUMBING, GAS & APPLIANCE
ATE INSPECTOR MISC.
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND RO
PARTIAL ROUGH_
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE