51226 (2)No. Street
APF
Lot
TION FOR.BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
�9 L 1
Do to 1967
i cation is heel
t
to be occupied only as
for a
File No. 'r 11'~v
Type v^!•
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
FEE$ `gOO Plon
Owner CIL Addre
Contr. Addre
Phone - —1 ^ ` leu I V St
ate
A pprc
$ ZzbOO
APPLICATION FOR ELECTRICAL PERMIT
Date' 196 —11 FEE$ 1 q r
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Conry. C 5111..U/1A.C..
it q ! Address Q
Phone _ / Jb� Di�O Stare L icens��e,,��/L`2�'%�to97
Approved v
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APPLICATION FOR PLUMBING & GAS PERMIT
Date a 196 7/
Contr.
Phone
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GAS FEE $ —_
PLUMBING FEE $
Address
State License 1
Approved
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APPLICATION FOR APPLIANCE
Data _`L_L_L,—196 n FEE$ —
Cont,. (L, ZIQ TLLO- DILL c Address I
Phone `�+�%Yf� lrl��J� - State License
Approved
Applicants agree not to violate any of the
Aorkman'.s Compensation Laws of the
hate of California
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RECORD OF INSPECTION APPROVALS
C-uP. 6AD.9L---)
BUILDING
DATE INSPECTO
PAD FINAL
FOUNDATION
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
ELECTRIC
MISC.
OC.7 3 ��
ATE INSPECTO/Mir.
UNDERGROUND G �v-�'/{-'
ROUGH WIRING '
FINISHED WIRING -
FIXTURES
MOTORS-
PLUMBING,
OTORS
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH -7
ROUGH COMPLETE _
MAIN DRAIN 3-a-7
FINAL PLBG. 5_5_7
FINAL GAS57- 1
FINAL APPLIANCE.
INSPECTOR m
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
MY OF CUPERTINO
Date ........ ..Q._r..I...................... 19 7.3. . Building PPeermit No. f LZ6
The Building at ... Z._SQw.•------_•
Ownedby _.. -- S°e ........ .................... -.......................
L_ /
Has 'Been m eted or Use As:......a........ f �...'...'...'- ... .:.. ........
(AlMred)