512261z(V
No. Street
APPLI
Date �^ • -WQ 1916%)—_
Ap tion is hereby
to he occupied only as
FOR BUILDING PERMIT
OF CUPERTINO
Sanitary No.
File No, f yY6
for a permit to
Lot N
story, Type
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ :�t ( 0 �d
FEES 00 Plan Check
Owner ddress 1 i
Contr. _ �� - �✓ Address
Phone 1- i b t t®
State License .
Approved
APPLICATION FOR ELECTRICALPERMIT
Date .�.�l,- 1196 +�(�� FEES - 1 r/ -W- A_ _ /
Contr. �'wLi/l FLr''��i 0'(/A nA! Address ��7� &44g:! ��
Phone ']-7) 0-7 Ll State License 22D�6�
Approved 14 es"a4-1
VV ��
APPLICATION FOR PLUMBING & GAS PERMIT
Date // /L2 196 7/ GAS FEE $ ��.5- )
PLUMBING FEE $ orLf,Sti
Contr.Address
37�-G9d /
Phone — State License 7-Z
Approved L.
APPLICATION FOR APPLIANCE PERMIT.
Do to ._jam_ 196 -111 FEES L ot Ju
Contr. 5
Address 0 . efV4t)f
Ph ono Sj�_ D 3 1 State License 252 OZ S
Approved
9pplicants agree not to uinlate arty of the
Vorhmnn's Compensation Laws of the
;tote of California
RECORD OF INSPECTION APPROVALS
BUILDING
FINAL
II
DATE
INSPECTOR
MISC.
PAD FINAL
PLUMBING, GAS & APPLIANCE
DATE
INSPECTOR MISC.
FOUNDATION
o t
-
UNDERFLOOR
--o
UNDERGROUND ROUGH
FRAME
3-1.1--71
PARTIAL ROUGH /_2
ROUGH COMPLETE
LATH 8 PLASTER
GRADING FINAL
DRAIN
BLDG.—,(8.4"£x
MAIN
FINAL PLBG.
FINAL GASS-3-71
1
FINAL
FINAL APPLIANCE
ATE
ELECTRI AL
INSPEC OR
MISC.
UNDERGROUND R
WIRING
Hr—
ROUGH
ROUGH
WIRING
FINISHED
FIXTURES
FINAL
II
y� /III
PLUMBING, GAS & APPLIANCE
DATE
INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH /_2
ROUGH COMPLETE
DRAIN
MAIN
FINAL PLBG.
FINAL GASS-3-71
�✓ _ _
FINAL APPLIANCE
DATE
INSPECTOR MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ._.:/0---" ................. 19 .. 7.3 4uilding, Permit No . ....................
The Building
Owned by ... ..... ...... ........ a� ...........................................................
.
.........................
Has Been Use As: .....
INSPECTOR'