NO PERMIT NUMBER (2) NO. STREET j �' ` - LOT NO.
CITY!OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
I
SANITARY NO. 91478
FILE NO.
DATE 11/5/76 19
Application is hereby mode for a permit to
0-story,type
to be occupied only as Sewer Only
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $
FEE$ 8.00 PLAN CHECK$
OWNER Camarda. Eros- ADDRESS
PHONE 257=763.8
CONTR, ADDRESS
PHONE STATE LICENSE
APPROVED J.A. Busto/h
BUILDING INSPECTION RECORD
DATE INSPECTOR I DATE INSPECTOR
FOUNDATION NFRAME .
PRE-GUNITE BOND BEAMS INT. &EXT.
MEMBRANE LANDSCAPING
. INSPECTION
FINAL l
UNDER-FLOOR
TIEDOWNS -MISC--
DIAPHRAMS
MOORE BUSINESS FORMS INC.,LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE !INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUN UGH UNDERGROUND ROU
ROUGH WIRINOUGH WIRING
FINISH WIRING FINIS
FIXTURES 204
IN R FI URES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFL S.M.
BACK FLOW INSTALLED DUCTS&I ULAT
I0N
UNDERGROUND ROUGH FLUES 8 .AIR
PARTIAL ROUGH - COND $A
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN S•
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS "
Bldg. Dept.
Office Copy
BUILDING INSPECtdR-S OFFICE
CITY 'OF CUPERTINO
�Wer Connection Sanitary Permit No. r�--7w.......
FJ' Plumbing Final Plumbing Permit No. ............................
Lot No. .... __. ...._........`.
Owner or Tenant .....................
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Date Connected --------------
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Date Final ----------------- �
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