51226No. Street
Lot
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
Data a 10CI 196
tobe occupied only as
hereby made for a permit to
File No
story, Type �T J
in accordance with Plot Plan, Plans and Specification filed herewith.
s IlA- 000�°
Plan Check Sa
Addres I I A�
Address
State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date (,—g 196 70 FEES - 17 r �y e
Contr. H/LL 6L_f�Frg/A� Address 1/ 70 kl��- KO/i-D S"
Phone -73C67y0 State License Z-Z.pO (pg,
Approved Et 146Lezzz:�z /C79 -p/
APPLICATION FOR PLUMBING & GAS PERMIT
l
0
Dote 196 76 GAS FEE E
PLUMBING FEE
Contr. AddressC}% swe K/
Phone State Licens
Approved
APPLICATION FOR APPLIANCE PERMIT„
Date 7/- 1% —100 FEES '3 •t_
r'
Contr. 14:21 yi fc'R--Ls!� /tiext.p Address /-�°�--
Phone — ��%�� Oma} �✓. State License
Approved
Applicants agree not to violate any of the,
Workman's Compensation Laws of the
Stale of California
Estimated Value of Improvements
FEES
J&D
Owner
l
Contr.
Phone
s IlA- 000�°
Plan Check Sa
Addres I I A�
Address
State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date (,—g 196 70 FEES - 17 r �y e
Contr. H/LL 6L_f�Frg/A� Address 1/ 70 kl��- KO/i-D S"
Phone -73C67y0 State License Z-Z.pO (pg,
Approved Et 146Lezzz:�z /C79 -p/
APPLICATION FOR PLUMBING & GAS PERMIT
l
0
Dote 196 76 GAS FEE E
PLUMBING FEE
Contr. AddressC}% swe K/
Phone State Licens
Approved
APPLICATION FOR APPLIANCE PERMIT„
Date 7/- 1% —100 FEES '3 •t_
r'
Contr. 14:21 yi fc'R--Ls!� /tiext.p Address /-�°�--
Phone — ��%�� Oma} �✓. State License
Approved
Applicants agree not to violate any of the,
Workman's Compensation Laws of the
Stale of California
RECORD OFIWECTiON APPROVALS
DATE
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL -
FINAL BLDG._
UNbERGROUND ROUGH
II i
ROUGH WIRING �+
FINISHED WIRING
FIXTURES
FINAL 10'0,
BUILDING
INSPECTO
O
E
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
Z
��
PARTIAL ROUGH
"
6 !
?-
ROUGH COMPLETE
MAIN DRAIN
MAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
-7
INSP
MISC� SSU• 7-P
MISC
MISC.
CERTIFICATE OF COMPLETION
BUILDING wspEcroivs OFFICE
MY OF CUPERTINO
Date ...... . /
The Building LocatcA at
Owned by
( v
H(Altered) -- - I
Has Been ��o Use As:
Permit No.
I
4
-------------------- ; - - - --------------------------*--------------
BUILDING INSPECTOR
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