51226\ • 2
12 0AIA.Me.• Lot No. V
No. Street
APPLIC ON F ILDING PERMIT
CITY OF CUPERTINO cQ2
Sanitary No. Id
File No.� ,
Dote r 11.)
U ation is her *by made for a permit to
a story, Type �+
to he occupied only as
in accordance with Plot Plan, Plans and Specifications filed herewith.
Estimated Value of Improvements S G.• s O�O\y
FEE W Plan Chec
Owne 14CM&A Address r In%,
Contr. A Address
Phone .5 C1 — (.I L ° ,y}e
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date k 196 FEES /�9-` /
CantAddress _//7e t;�4tti ��Q 5' y
Phone /��L' 0 7 Y- State License a� O 0 t; dI /
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date / / 196 %/ GAS FEE $
PLUMBING FEE $
Cont,•t-'--'c-.--v`-�Ci +� rAddress��
Phone —J 76 -- % o)—/ State License
/7
Approved
APPLI ATION FOR APPLIANCE PERMIT
Do1% n FEES
\
Zontr. 140 1< /"MIZIA �-6' Address L31 5�
043H State License
• r Approved
9pplicants agree not to violate any of the
porkman's Compensation Laws of the
i tate of California
28zS
PAD FINAL
FOUNDATI(
UNDERFLO
FRAME
LATH & PL
GRADING F
FINAL BLD
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO
MISC.
ELE
DATE INS
UNDERGROUND ROUGH i
ROUGH WIRING
FINISHEDWIRING
FI%TURES
MOTORS
FINAL
ICAL 009
roR MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH /—
ROUGH COMPLETE -9 -
MAIN DRAIN
FINAL PLBG. —t27— `-7
/
FINAL GAS 6 — I
FINAL APPLIANCE
0
2--11-
c
-/1-
IN �� 6' i�
'1r✓ � �L
JR
.�/
CSTER
NAL
ELE
DATE INS
UNDERGROUND ROUGH i
ROUGH WIRING
FINISHEDWIRING
FI%TURES
MOTORS
FINAL
ICAL 009
roR MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH /—
ROUGH COMPLETE -9 -
MAIN DRAIN
FINAL PLBG. —t27— `-7
/
FINAL GAS 6 — I
FINAL APPLIANCE
0
2--11-
c
-/1-
CERTIFICATE OF COMPLETION
BUILDING wspwrows OFFICE
CITY OF CUPERTINO
Date ...... zs— �{................ . . . . Building Permit
11c Building Located at
Owned by
Has Been (Altered) For Use As: ........ ..................................
....................
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BUILDING INSPECTOR