13060061 - Misc �- � Building Department
City Of Cupertino
10300 To��re Avenue
Cupertino, CA 95014-3255
'� � Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
JUB ADDRESS: ,/ ' %(� �c��'Crts� `, PERMIT# � 5 U�
OWNER'S NAME: �j� � PHONE# G�� � �3 c� � 3�
GENERAL CONTRACTOR: BUSINESS L[CENSE#
ADDRESS: CITY/ZIPCODE:
'Our municipal code �•equires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY 1NSPECTION(S) WiLL BE SCHEDULED UNTIL THE
CENCRAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTA[NED A CI:TY OF CUPER"CINO
BUSINESS LICENSE.
1 am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following inf'ormation:
�/ SUBCONTRACTUR BUSINESS NAME BUSINESS LICENSE #
� Cabinets & Millwork
� Cement Finishing
Electrical L ," 5 7 �'� d
Cxcavation
Fencing
Floo►'ing / Carpeting
Linoleum / Wood
Glass / G[azing
Heatin�
lnsulation �
Landscaping
Lath i ng
' Masonry
Painting/ Wallpaper L ;S. `��/ U
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I I �c�Vlll�
Plastering •
� � P(umbing � t � S �" O
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Roofing , ' � .
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Septic Tanl< '� ` � _.
� Sheet �Vletal . ' �
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Sheet Rock �
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O�v{�er.�/Contracto Signafu . Date
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