5109910331 LOCKWOOD DRIVE
51099'
F
P E R RATT I CONST. CO.
SCANNED BOX # 709
10321
Lot No.^•o
No. Street l
APPLICATION FOR BUILDING PERMIT /\ G
CITY OF CUPERTINO �� Q
File No.,5 �d 99
fi Sanitary No.
Date 196 4
Application is hereby made for a permit to
to be occupied only as
in accordance with
a �� story. Type - 110— 1 T
Estimated Value of Improvements S
Plans and Specification filed herewith,
G, 0000
FEES S sb Plan Check $,, d/y�- 7- � /+
Owner �CtJ Address ca Djs� A�Iw..-..!' /-j
Contr.
Address
Phone - 96 o 7 D 7 State License 1,510 02, 1
Approved /
APPLICATION FOR ELECTRICAL PERMIT
Date 196 kzi&Zddress
EE$J0 315Contr. 9 7 7 sktAZ�
Phone o4���e.��X State License 9-/A on?s/994a
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date a -23 196 GAS FEE $ (3.00
PLUMBING FEE $
Contr, t� • w�• —�n �
.Address ?
/
Phone - / 3� State License S 9
WILLIAM D. BENEVICH
Approved
/ APARLFC TION FOR APPLIANC, EIAIT
Dote.t11 196 X` FEES
Contr. �` /-C/1_ .-�C11_ l�. Address r`5
Phone State License
Approved _ WILLIAM D. 13ENPVir-y
Applicants agree not to violate any of the
Workman's Compensation Lotus of the
State of California
RECORD OF INSPECTION APPROVALS '
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DATE - INSPECTOR '
APPLIANCE
DATE
- DATE
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INSPECTOR
NSPECTOR
DATE INSPECTOR
CERTIFICATE OF 'COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date......rf°................... 19. < I:r.. /Building Permit No.
The Building Located at ..... ........
o..Cac.�rB9�
....._................%\.---....
y ...--1. ......:
Owned (�.. ....lL........._(?.!-_.
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-----------
BUILDING
-
BUILDING INSPECTOR
102 12/66-1M
I *
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No..... rYZ�
FL/Plumbing Final
Plumbing Permit No.JI09
Lot No....ct? -----------------
Owner or Tenant ---
PLUMBING INSPECTOR
111 12/66-1M