51226Lot No.Q
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO /y
Sanitary NO.
,—` 2 ts File No.�l
Data r �'y7—Lis
here made for a permit to
story, Type v^��
to be occupie only a,s
in accordance with Plot plan, Plans and Specification filed herewith„
Estimated alue of Improvements j ' + 0 00OTo
(b c
FEE$�
plan
4 r
owner
Addre
Contr.
Addre
lb� c Q�
Phone `-016 1 Lz
State
Apprc
APPLICATION FOR ELECTRICAL PERMIT
Date / - 5 196 ,6) FEE$ 1�9�
Contr. _'k1ZL . -�T/�/(t Address
Phone —73 Q 7216 State License 2— coo _
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 % `� GAS FEE $
PLUMBING FEE $ �a
Contr. (T.�L'
Phone 3 7'r — (0% �-/
Address
State'License
Approved
APP KATION FOR APPLIANCE PERMIT, J
Dote 196 C FEES /"
Contr .�y/"/i Address 4�16
Phone /ti' U`/'.f State License �'5--Ld7-;k--�
Approved
Opp licanLs agree not to violate any of�thc.
Vorkman's Compensation Laws of the
'tate of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
ol
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
MISC.
UNbERMOUND 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 �
�76irT
FINAL PLBG.
FINAL GAS
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—� '
9
FINAL APPLIANCE
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M
`^nisVsrnv. 7—zl
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
/ } z6
Date ..._..( :_:'`�.:....................., 19.7 Building Permit No.z-.--.-
The Building Located at
Owned by ..__
Has Been
(A1eLe�dF°r U As: