NO PERMIT NUMBER (81)/0
No.
7
�. A4
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to (O 6 196-7--
Application
96-7--
Application is hereby made for a permit to
a
to be occupied only as
C-70
Lot No.
Sanitary No.
Fila No. `s /�'�`
story, Type
in accordance witW"Plot Plan, Plans.and Specification filed herewith.
Estimated Value of Improvements. $
FEE$ Plan Check $
Owner Address
Contr.. � rG Address 0
Phone J `7 -'3 t State License
Approved a1:24i
APPLICATION FOR ELECTRICAL PERMIT
Data
196 FEE$
Contr.
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 Cnmpensation Laws of the -
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION O
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL II`�
FINAL BLDG. / 7u V
UNDER
ROUGh
FINISH
FIXTU
MOT OF
FINAL
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH-
OUGHWIRINGED
WIRING-
EDWIRING
RES
S /
BACK FLOW REO._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL -GA
L APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... ..... �.... ../..Q-.......... S9-'........ Building Permit No. 5)? -16
/o Fr 7U i�Jo. SrEZu.! o.
The Building ppLocated at . ................. ../...'...... --....... � .....�................
Owned by ---l�I.Q.RTH..E I .......G.O! 7 ------
...C�p' .................................
(Completed)
/�
Has Been �� For Use As: ..................1/F}.R.�O R_T......:..._...............
............. ..........-----`--........... ..... -
BUILDING INSPECTOR