51192.1i0/
No.
.01 >2.
Street
APPLICATION F R BUILDING PERMIT
_,CITY OF CUPERTINO
V r
Do to / 196 70
Application is hereby made for a permit to
a
to be occupied only as
Lot No.
Sanitary No.
File No.S119a.
story, Type
in accordance with plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements
FEE$ ^� t) plan Check $
Ow r•er /M l.lw/ ti/ Address
Contr. Address
Phone 7- 64 a -L4 State License
�/)(j��/�/f��
Approved //s//""d+� 1
k
Date
Contr
Phone
Do to
Contr.
Phone
Dote
Contr.
Phone
APPLICATION FOR ELECTRICAL PERMIT
196 FEE$
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
_ 196 GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Address
State License
Approved
Applicants agree not to violate arty of the
Workman's Compensation Laws of the
State of California
PAD FINAL_
FOUNDATION_
UNDERFLOOR
LAT,H`& PLASTER
GRADING FINA,�L//_
FINAL BtDe--'&
UNDEF
ROUGI
FINISF
FIXTU
MOTOI
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
-
I WIRING
ED WIRING
RES
!S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
m
No.
Lot No.
Street
COY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
_
Sanitary No.
File No.�����^'�'�
Da to � 19
7.Z—
Application is hereby made for a permit to
story, Type `s^
to he occupied only as
in accordance with plot plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ 624 11
#_0.
FEE$ ' Plan Check $
Owner dress
C ontr. Address
Phone c,2 -,S- 7 — Qp J" 6 J� State License
n
Approved
Contr.
APPLICATION FOR ELECTRICAL PERMIT
Date
19 FEE$
Contr.
Address
Picone
State License
Date 19
Approved
Contr.
APPLICATION FOR PLUMBING & GAS PERMIT
Date
19 GAS FEE $
PLUMBING FEE $
Contr.
Address
Phone
State License
Approved
APPLICATION FOR
APPLIANCE PERMIT
Date 19
FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
PAD FINAL._
FOUNDATION_
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL_
FINAL BLDG._
UNDEF
ROUGI
FINISF
FIXTU
MOT 01
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH
-
I WIRING
ED WIRING
RES
:S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
oo�
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