51226APPLICkJWbN FOR BUILDING PERMIT V
CITY OF CUPERTINO
Sanitary No. 3 7
File No.
Date ' Zd�196��
is bereft made forma permit to
-0 Xl 1 7,
to be occupied only as
r ^
.story,_ Type /
in accordance with Plot Plan, Plans and Specific,inn filed herewith,
Estimated Value of Improvements $�0p ��
7900
Pian
Owner
Contr.
Phone
AAdd((re
-1-k a
Apprc
APPLICATION FOR ELECTRICAL PERMIT
Date - I y �p119nR6 -71 FEE$ I a -
d
J1
Contr. :144 NYO/' '
s.f Address -.1�D 24" RA
Phone 2Ik - 0-7LA6 State License 2'2Qh 673
Approved`•.Q ial
Hti '
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 196 �� GA16 FEE $ l/s��
y�/
PLUMBING FEE $-.2-4,S-y
Cont,, 64 ti Address -7-97h-0 LA1 =v IA2.� i
Phone - State License Z;7A>2'd"-/
Approved
APPLICATION FOR APPLIANCE
Date s YG 1% 7 / FEES --
Caner, �7 Gr->; !-'��--�T—i"-P Address
Phone - .� 7 C('-' 0 u State License
Approved
Applicantsagree not to violate any of the
Workman's Compensatinn Laws of the
State of California
7 S-
S -j do -2 -
6;:�-
RECORD OF INSPECTION APPROVALS
&p. baa . '-)w
DATE
PAD FINAL _
FOUNDATION_
UNDERFLOOR _
FRAME
LATH 8 PLASTER
GRADING FINAL_
FINAL BLDG._
If
TE
UNDERGROUIV
ROUGH WIRING_
FINISHED WIRING
FIXTURES
MOTORS
FINAL
BUILDING
INSPECTOR
ELECTRI
INSPECT
so
f
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE Z
MAIN DRAIN 9,'ZA
FINAL PLBG. 'Z7"
FINAL GAS Q-
FINAL APPLIANCE
DATE INSPE
MISC.
MISC.
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date ----- Q.--"'�(.......................19- ... Building Permit Noo..-_?f. .
nt
The Building Located. ,...... -.C. ..... ........ ...(,._......
Ownedby z�- -- - ---- -- .................... - - .......-----
Has Been (A Use As:.�� ..f .: J '�''Q.� --• •.....................
(A teredl