NO PERMIT NUMBER (2) vL-C� Lot No.
No. Street -
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. //
File N6.O- - j ly
Date �oZ eZ 196
Application is hereby made for a permit to
a story, Type -
to be occupied only as
in accordance with plot Plan, Plans a Specification filed herewith„
Estimated Value of Improvements - $
FEES 7 Plan Check $
OwnerAddress !
Contr. Address
Phone f— State License Q� A
. . Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
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 "
%.r
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 & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS-
FINAL
OTORSFINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK.FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC