51226No.
0,
Lot Nc
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary N�
Date IS; 1& 196?1L—
is hereby made for a permit to
to be occupied only as
File Nott—ria'....
Type
S =! .
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S C;z %�1
FEES
Plan Check
• b
wr�► 1���
OaAddress
r
Contr• j.� Address iy
of d:t
Phone i�State Licansa '
C —[ — '7 40 1 (1 Approved
APPLICATION FOR ELECTRICAL PERMIT
Date , 196 7e) FEES 9/'q
Contr. �L?'/ 1.LL '/��7%1 !(� Address 1 �70 IV
Phone % 3(,- 0 7V-0 State License 2-7-00/7�n��/
I Approved mu
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 -20
Contr.
Phone J 7 k-
GAS FEE $ —
PLUMBING FEE $
Address
State Lice
i / J-:!,
Approved`e"�`�
APPLICATION FOR APPLIANCE PERMIT
Date Z/./ 3 196 ? /a FEES /'''' S a
Contr. _� , tez/' /'.�- _� -� Address 1r3'4 L
Phone -. `. ,7 State License2.S o2 ��- J f _
Approved
Applicants agree not to violate any of the
irorkman's Compensation Laws of the
hate of California
PAD FINAL
FOUNDATION_
UNDERFLR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR M
ELECTR AL
SSPE OR M
bb/ 61116 _ Fcvvt �
ROUGH WIRING y
FINISHED WIRING
FIXTURES
MOTORS
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW RE4e.—)
SANITARY NO.
UNDERGROUNPARTIAL
ROUROUGH
COMPLMAIN
DRAINFINAL
PLBG.FINAL
GASFINAL APPLIA
DATE INSPECTO
Fi �� iq cE 1:-Lvb 7>'
MI C
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .....�Q..:=..u.::. 19-_ Building.Permit N2...,:?/Z2 6`
The Building Located at
Owned by
Has Been <2 , Tnr Use As: