5110111057 LINDA VISTA DRIVE
51101
F
V.R. SARAG U E
SCANNED BOX # 709
' ink
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dote Q • as 19614
Application is hereby made for a permit to
to be occupied only as masd TV'x C)M%,
Sanitary No.
File No. �t�o
tory,
in accordadce with Ploi Plan, Plans and Specificfation filed herewith.
�EOstimated Value of Improvements $ am
FEES C34M Plan Check $
Owner \1% . x - Address 111N% '` �3"A
Contr. Address
Phone � ��O State License
Chez• '�� Approved WILLIAM D. DEN M- CH
APPLICATION FOR ELECTRICAL PERMIT
Date
196 FEES
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
196 GAS FEE $
PLUMBING FEE $
Contr.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
196 FEES
Contr.
Address
Phone
State License
Approved
Applicants agree riot
to violate any of the
Workman's Compensation
Laws of the
State of California
PAD FJNAL_
FOUNDATION,
UNDERFLOOR
FRAME-
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
UNDEI
ROUGI
FINISh
FIXTL
MOT OI
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
ROUGH
.GROUND -
I WIRING
ED WIRING
RES
!S
PLUMBING, GAS 6 APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE