512261 oo7Z
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. (=qxr
Date A 7
is hereby mode for a permit to
to be occupied only as
NX
File No.yr, o'L
story, Type
in accordance. with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S �a�0000
79 �*
FEES . I Plan Chep
5u4Owner ` ddress
Contr. ^ Q Address
9
Phone 1 Its, State
4L,0
Approved
c
APPLICATION FOR ELECTRICAL( PERMIT
Date /J� 119f6�,,--�:- I— FEES `� s�
Contr. IlLjd/ CX1L�-V1_/.r. Address P-70 k Sy
Phone — / �J('7� 07 Ll0 State License `L 2oo6
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date / ��-- 196 %� GAS FEE $
PLUMBING FEE $
Contr. _ t�-a-+----/zE/ Address
Phone � ?7 ":,- 6 9 a-/ State License
Approved
APPLICATION FOR APPLIANCE
Date _� el 7p% -7-7/ FEES
Contr. L 1(�-r<�C �^E-ev-�' Address 1
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation haws of the
State of California
--2 r
<21
'PAD FINAL
FOUNDATION
I-ZI
UNDERFLOOR
Z
FRAME
LATH IS PLASTER_
GRADING FINAL
FINAL BLDG.
UNDERGROUND ROU
ROUGH WIRING_
FINISHED WIRING _
FIXTURES
MOTORS
FINAL
RECORD OF INSPECTION APPROVALS
!&
SANITARY NO.
UNDERGROUND ROUGH-
PARTIAL
OUGH_PARTIAL ROUGH 2
ROUGH COMPLETE
''3
MAIN DRAIN
FINAL PLBG. -�
FINAL GAS
FINAL APPLIANCE G
BUILDING
INSPECTOR
z �&6.
�+ ELECT
q�TE_- INSPE
r r �
D^
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
MI
MISC.
(iAl L4Ma WRAvra+b ttfoWf n ame- '3-I t -71 g.y,
r.o).L.
D TE INSPECTOR
Mlsc SNctT M -M 3-1 -
MISC
MISC
CERTIFICATIf OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......fJ -,� ...... if .................. 19. Building Permit No._. l':
The Building L..t,(Ift ... ..... .....
Owned by ...
ice.,.
-W- �4 09 WA WAW,
INSPECTOR
0
��L7 I Oro
No. �Str Lot No.
1 AL'..� • ATION FOR PLUMBING PERMIT
JAN i jq71 ll��ll CITY OF CUPERTINO
Sanitary. No.
1 "ai 1� �!1!_ ^1�In��J 196_ Permit No.
Fee S
Application is hereby made to the City of Cupertino for a permit to install plumbing 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 Cupertino, and all other
laws applicable thereto. _
Use of Premises
Owner
By
pj Addres
,��
lif//�oe.i.oG4.
Phone ✓ �I b/p / I'C/
State License/ D- kd' e' Approved
Plumbing Inspector
Wash