51145 21802 LI N DY LANE
51145
F
E KENT BOOTH
SCANNED BOX # 709
Lot No. -�J
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
lr ` -7/ File No..S�i of 6 - �
Date J 19
A Lpp ication is hereby made for a permit to '
7
a story, Typ
to be occupied only as
in accordance with Plot Wn, Plans and Specification filed herewith„
Estimated Value of Improvements $ y �
FEES Plan Check $
Ow r.er /`t-ri/` Address
Cont,. Address
Phone .2- S-3 — State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Picone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workruan's Compensation Laws'Of the
Stale of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL vv11 A
FOUNDATION v�
UNDERFLOOR
FRAME
LATH &•PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC.
/
�,La
No. Street Lot No.
G1Y of Cw-.4k1� APPLICATION FOR ELECTRICAL PERMIT
J.0L 97
1971 CITY OF CUPERTINO
Date 1196_ Permit No. p
A
E E A I L) Fee$
`o
3 � Application is hereby made to the City of Cupertino for a permit to install electrical wiring
and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or
o fixtures in accordan wit the provisions of thv ectrical Code of the City of Cupertino,and
rall other laws applicable Ireto.
A N
A
s Use of Premises
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Owner P O i Address
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o By ,/QJh1�� Address
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3 'Z Contractor,Agent
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Phone �'� (9 / A r d Electrical'Insp for
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State License -------
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