NO PERMIT NUMBER (2) Sewer
206P6 I flnnri sp T7ri v,e Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. 8894 BF
11/1/73
File No. 51,139
Data 19
Application is hereby made for a permit to
a story, Type
to 6e occupied only as Sewer Only
in accordance with plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ - 7.00 Plan Check $
ov,'.er Mr. & Mrs. Manuel Valverdkddress
Contr. Address '
Phone 253-0742 State License Owner
Approved .T_A_ Aiistn/h
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Cont'. Address
Prone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 GAS FEE $
PLUMBING FEE $
Contr• Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
Contr. Address
Phone, State License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
PDA
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
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH-
PARTIAL
OUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN -
FINAL PLBG. 3
FINAL GAS
FINAL APPLIANCE.
DATE INSPECTOR MISC.
MISC
MISC
i'
MISC
f
t
_ Bldg. Dept. t
! Office Copy. `p
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
0 Sewer Connection Sanitary Permit No. ..-A�7F'/
Plumbing Final Plumbing Permit No. .->�. ........
LotNo- --------------------------------
Owner or Tenant �exv.A..-�ry.-�-� n 1.;,,.� :c,.F:y1n.�,Ci✓
Tract .--...............-- --....------...
Date Connected -------- ...... ----�-�---------------------------- ------- ------- 19.... ..
I
Date Final ------------/-.(.---...7-'...�.3
------------- 19--......----
PLUMBING INSPECTOR
X Q�"z G L nA IL 1l,rV C�1� LOT NO
NO. STREET v
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w ZCITY OF CUPERTINO
Y 0t [CATION FOR PLUMBING PERMIT
it! `
OJ 1
3 U r ,! y (]� Sanitary No. r'' ,,.
iw Date ii _ X19_ Permit No.�.L[.L,7�
F-O r� Fee$ 7 0'V /
w
a Application is hereby made to the City of Cupertino for a permit to install plumbing
a N pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r= and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a r Cupertino, and all other laws applicable thereto.
J LL
ODn
use ofwork To Be
r2mi5e5
N P
r 3 Performed
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Z J owner `Germs`/_gaeress
J 2 C.lG_
J O By Address
3 Q vContractor,Agent
W Z Phone �` vz��.j-- Q7�o2_
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0 State License Approved
Q O Ij(I^ Plumbing Inspector
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