51226No.
APPLI
Lot No.
BION FOR BUILDING PERMIT
CITY OF CUPERTINO ����
Sanitary' No.
File No. )I6
Date S - W 197..0
A ication yrs hereb
to be occupied ly as
for a permit
Type
b� J
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimate_ d Value of Improvements f
Plan Cl
s:
Address
�.f�
�
Approw
FEES
Owner
Contr.
Phone
State L
APPLICATION FOR ELECTRICAL PERMIT
Date - I q//�� 1196 2 )
Contr. ILM CQQ02 I wx
Phone -2)�L7- 0:2 L4
FEEf
t 2%
Address ? 7!) 7i'4l a ?;zil moi,/
State License —2 ? Or) L ij
Approved gad 77�1/dld
APPLICATION FOR PLUMBING & GAS PERMIT ,4"z
Dara 196 7/ GAS FEEf
PLUMBING FEE $
Contr, Address�Pdv / o -f --, KS'�tl �i.%
Phone %,? -G' f-2 State License J`c/ e'
Approved - ` ��
APPLICATION FOR APPLIANCE PERMIT�2�
Data / 1% ;z FEES
Contr. .�L° Address - 13-O Al/ f
3 �<
Phone Y State License ._�2 S--)
4pplicants agree not to vinlate any of the
Vorkman's Compensation Laws of. the
irate of California
Approved
v �
RECORD 0 INSPECTION APPROVALS
PAD FINAL
ATE
INSPECTO
FOUNDATION
'
UNDERFLOOR
(�2Qe
71
FRAME
^�+
`7
LATH & PLASTER
COMPLETTE
GRADING FINAL
—l'
11
FINAL BLDG.
FINAL PLBG.
BUILDING
INSPECTO
ELECTRICAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
ATE
INSPECTO
SANITARY NO.
dp
UNDERGROUND
N6-1
PARTIAL ROUGHROUGH
`7
ROUGH WIRING
COMPLETTE
—l'
11
FINISHED WIRING
FINAL PLBG.
FIXTURES
FINAL GAS -2i'%/
MOTORS
FINAL APPLIANCE Z
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
N6-1
PARTIAL ROUGHROUGH
COMPLETTE
—l'
11
MAIN DRAIN
FINAL PLBG.
FINAL GAS -2i'%/
FINAL APPLIANCE Z
IN
$011.
MISC.
(-a.d Al. TJ 5Ewt'
J i
CERTIFICATE OF COMPLETION
BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
Date ......... ..................... 19 ... ?..I,:
/�ilding Permit No . .. ... .............
The Building Located at ....... 7Z� 7 ve
.............. I .. ...... .. ... —( -1,01
Owned by
His Been (%/
Vtem!dE)pm' Use As: