13070065 - Misc ���l.so7ao��'
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT 1 N O Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LIST
.IOB ADDRESS: �� ~� � PERMIT# D
OWNER'S NAME: ,<�:': �-� PHONE # D " ��- II� S —
GENERAL CONTRAG OR: BUSINESS LICENSE#
ADDRESS: �; CITY/ZIPCO.DE: ` S O �
�°Our municipal code requires all businesses worki.ng in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR F1NAL OCCUPANCY INSPECTION(S� W11.L BE SCHEDULED UNTIL THE
GENERf1.L CONTRACTOR A1�ID ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPEKTINO
BUSiNCSS LICENSE.
�- S
I am not using any subcontractors: ,
/ ;i Signature Dat,
Please check applicable subcontractors a��complete the f'ollowing information:
✓ SUBCONTRACTOR BUSINESS NAME BUSiNESS LICENSE # '-
Cabinets & Millwork
Cement Finishing
Electrical 325�
F,xcavation
Fencing
Flooring / Carpeting
Linole�uz� / Wood
Glass / Glazing `
� Heating "
Insulation
Landscaping
Latl�ing
Mason►y
� Paintin�/ Wallpaper
Paving
I--
Plastering
� Pl�m�bin` � . , 2
� Roofi rr�
Septic Tanl<
� Shect Metal
� Sheet Rock
Tile .
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;;�Owner/Contract f ignature D� e