51226Lot No.
No.
APk4GAAON FOR'BUILDING PERMIT `J
CITY OF CUPERTINO
Sanitary No.
File Nzr �y,
Date 79
APADation isihereby ad'f r a.. permit to
7>1.4W60a story, Type �^ 174
to be occupied only as —OPIN i. % t
in accordance with plot plan, Plans and, Specification filed herewith,
$ Zl000
Plan
Address
State 6
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date ' "� l n 196 -7/�
Contr. Y ?Q00 zt .
Phone- -7-�b—Q%LIQ
APPLICATION FOR
Date vZ 196 -?
Cont,
FEE$ I eg
Address 117D Lbw 1p& z� S//
State License 62�--Zoe) b2�3 t
Approved
PLUMBING & GAS PERMIT
GAS FEE E
PLUMBING FEE $ - a --Z'
Address _C:50-% d"t' c. -
Phone 9d/
Estimated Value of Improvements
FEES
Owner
� e
Contr.
Do to_(
I � 196 -H
at -7 L i
Phone
b
$ Zl000
Plan
Address
State 6
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date ' "� l n 196 -7/�
Contr. Y ?Q00 zt .
Phone- -7-�b—Q%LIQ
APPLICATION FOR
Date vZ 196 -?
Cont,
FEE$ I eg
Address 117D Lbw 1p& z� S//
State License 62�--Zoe) b2�3 t
Approved
PLUMBING & GAS PERMIT
GAS FEE E
PLUMBING FEE $ - a --Z'
Address _C:50-% d"t' c. -
Phone 9d/
State License / 7't`1 -e/
Approved
APPLICATION FOR
APPLIANCE PERMIT
Do to_(
I � 196 -H
1 zS
/�_p o I
:onir, [ �i:B'G 3 aD pj j C.,--
Address 13 0
Phone 3'7$—D45y
Z 52 2
State License O
o
Approved
9pplicants agree not to violate any of the
-
Vorkman's Compensation laws of the
;tate of California
RECORD OF INSPECTION APPROVALS -
BUILDING
DATE INSPECTO
PAD FINAL
FOUNDATION 30
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. �O �X
UNDERGROU~
ROUGH WIRING_
FINISHED WIRING
FIXTURES
MOTORS-
FINAL-
DATE
OTORSFINAL
DATE
---7_
S -CI
t _-'
ELECTRICAL U�
INSO//CTOR m
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
•�
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE 5-
S -
BJ
MISC.
�1
MISC.
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........F-0........ iq-2.-.�L n Budding Permit No.
The Building ID03tedlat
Owned by ... :.54j.
Has Been�"'7 d Use As: