51226Lot No. d),,4
No. Street
APPC ON FOR BUILDING PERMI
CITY OF CUPERTINO
Sanitary No.�1_
�% File No.
Dote cu 1�_
pplication ' her by made for a permit to
a story, Type 43 Jar
A
to be accupi only as
in accordance with Plot Plan,. Plans annd Specification filed herewith.
Estimated Value of Improvements E
FEES Che
Owner dress • 1
C ontr. Q AAddresss `�/k/,
Phone 1'� � ifotf LJice s' e
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date .i — � � (� 196 l� FEES I -7-M�Y
�
Contr. �tY 1400 e- !�', Address ?o 4a it S!//
+7
phone _ / -1), r)% N o State License (0
Approved AuAa:cdf�
APPLICATION FOR PLUMBING & GAS PERMIT _ )
Dote L c1 196 %/ GAS FEE E /S�'/
PLUMBING FEE E - `r•yZ
Contr. Address --f C'
Phone ,3 7,f _ 6 9 a/ State License
Approved �
1 p APPLICATION FOR APPLIANCE PERMIT
)ata�/l %'11
=omr. y�41"tr/i Oak (1,7 Address
61
Phone ��� q �`1 State License s 2 2
Approved
9pplicants agree not to,violate any of the
Vorkman's Compensation Lawsof the
;tate of California
RECORD OF IMSPE&ION APPROVALS
FUF 6tiJ.�
PAD FINAL ,Q
FOUNDATION -3
UNDERFLOOR �7�2
FRAME 7 ��
LATH& PLASTER
GRADING FINAL
FINAL BLDG.
BUILDING
INSPECTOR
ELECTRICAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
7'E
INSPECTOR
UNDERGROUND ROU
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
UNDERGROUND ROUGH
^�
PARTIAL ROUGH
FINAL'
1
MAIN DRAIN
u
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
+ 71
MAIN DRAIN
u
FINAL PLBG.
S
FINAL GAS
-
"
FINAL APPLIANCE
•'
INS
MISC
MISC
MISC
u
MISC.
MISC.
MISC.
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..................... 19-72..� 7 Budding Permit..No. 16
The Budding Loca* at
Owned by
.............
. ........................................................
Has Been
( or Use As:
t--d)
per)
------ ! ----------------------------------
INSPECTOR