13060214CUPERTINO
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014 -3255
Telephone: 408 - 777 -3228
Fax: 408 - 777 -3333
CONTRACTOR / SUBCONTRACTOR LIST --
JOB ADDRESS: 5'2. 9 As t tf' LYt
; . "4'
PERMIT # 1346-6241+
OWNER'S NAME:
PHONE # 0 _ 666
GENERAL CONTRACTOR:
BUSINESS LICENSE #,
ADDRESS:
CITY /ZIPCODE: -;
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL, BE-,.. SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED EA `CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors: _
Signature Date
Please check applicable subcontractors and complete the following information.
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature Date