51226Ne.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. CS/ *01&
r
Dote 19
A 'cation is�hereb
to be occupied only as
FEES
Owner
Phone Ph
Phone
for a permit to
Ho
Lot
Type . :['
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimotteedd Val" of Improvements $ a
Plan
6dre
Addre
State
APprc
APPLICATION FOR ELECTRICAL PERMIT
Date 1s96�� FEE$
Contr. >'�,(Y {" /�1.C� Address
Phone _ L 0 State License
Approved --7--
APPLICATION FOR PLUMBING & GAS PERMIT /
Date a 196 -2/ GAS FEE $
PLUMBING FEE $ -�• J�
Contr.
/
Address a;
Phone
``
State License
Approved
v
APPLICATION FOR APPLIANCE PE
Date �-� 1/%9f6 7 f FEE$
Conn. O�{ %'-c-C�%� O'�l�fJ/ Address /-:L'J
Phone —3-7 - Cl % d x State License "
Approved
9pplicants agree not to violate any of the
Forkman's Compensation laws of the
;tote of California
d-
4;1
RM
'RECORD OF INSPECTION APPROVALS'
gdiP. 6160. •W
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.—
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS-
BUILDING
OTORS
BUILDING
TE INSPECTOR MISC.
/s.
ELECTRICAL
DATE INSPEC MISC.
3-
U_4..
. -1" 1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH 1
–
ROUGH COMPLETE 2•
_
MAIN DRAIN + LE
7
FINAL PLBG. �`
FINAL GAS `Zo'7f
FINAL APPLIANCE
a -1-719.y.
DATE
MISC
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..----t .-- ---'..........:............. 19-21: Building.Permit No.....................
The Building
`� 1-4.u..-i�-...._.._.
Owned by ...... _.... ..--
....--.. ....................---•
Has Bern (Can¢ Poi Use As: - r
(Altered) � .t—Z-...y ..::...................
INSPECTOR
NO. 'STREET
Pi N FOR PLUMBING PERMIT
. `�
a TI' OF CUPERTINO
z i
a0 �.I�h1 �c �97� Sanitary No.
o a Date �� —L �� 196— Permit No S 2 Z 6
3 � F❑ 24. S0
r� IF V 1 Fee $
° pp icatlbn is�H 4by� made the City of Cupertino for a permit to install plumbing
`o < pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w x
� r
a a Use of Premises
00
3 Owne Address"v ���
0a
z J \
z B y4t Addresses/moo
O CONTRACTOR, AGENT
— m Phone o
w�
_ State Licence
Approveda a
PLUMBING�-
INSPECTOR
Water Heatei
Water Closet
Wash
Size
Comb.Sink
Dental Unii
WATER
Water Sys. Fee
Total
313