100219 10244 N . SARATOGA S.V. RD
100219
F
SCANNED BOX # 709
/0'x ! Lot No.
No. I Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
70 File No. i
Date �2z 196
Application is hereby made for a permit to
Sit a story, Type
to he occupied only as �4.r
in at.rcordance with Plot Plan, Pl./and Specification filed herewith.
pEstimated Value of Improvements $
FEES yn /Plan Check $
Owner r. ^^
Contr. Address a=g e V
Phone Z State License 4
Approved /
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cont,. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Work,nan'.s Compensation Laws of the
State of Califnrnia
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL -
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
/UMBING, G A�LIANCE
DACTO V MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
CLt7A«d•o vT arc 7- 7- TO
DATE INSPECTOR MISC.
MISC
MISC
MISC
`1
NO. STRP.P.I'
?If
"1970 R PLUMBING PERMIT
CUPERTINO
zX r ° JSanitary No.
M ,
o a Date 196— Permit No1004,2009
Pees
oApIVcTlyis DE w RTM( of Cupertino Fora {mnnit to install plumbing
'o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
aw Cupertino, and all oth r laws applicable thereto.
w
0 LL Use of Premises
00 ���
oa Owner_LUC l wAL A Addressje24M .b _M&A& It Kiiy�
z J f(//
I3y �C AVIAwON'd1Aie Address 1t 063 ` CAA 10 fT,
CONTRACTOR, AGENT -��
3 �
— w Phonelit 2
w z
ao State Licensee L&7 Approved
PLUMBING INSPECTOR
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