51226Nb.
V Lot No.
APPLICATION FOInUILDING PERMIT
CITY OF'CUPERTINO
Sanitary No.
Date � 19�0�
lica tion is h ehy made for a permit to
hpp�
o
a �. story,
to he occupied only as
File No.� i )
Type
in accordance with Plot Plan, Plans and Specification filed herewith.
�] Estimated Value of Improvements s =p %4 0 DO 0
FE PI Check
►� I
Ovr ne Addres
Contr. Address
Phone 3"15- b t a �c s -L. Fe CO-)
, Qn
Approved \ O `LK
APPLICATION FOR ELECTRICAL PERMIT
Datec19�6 71
FEES /9�y/�
Cont, .
t'+
Address �� 7-r-.J/4.f� o
Phone 7�'6 ._.0 7t" 0
o2 o
State License;L C'
Approved j
APPLICATION FOR PLUMBING & GAS PERMIT
Dote t 7r 196 z
GAS FEE $
PLUMBING FEE $ - ol-d". S-0
Address c:290c�
Phone - 37t''% f, d-
State License / 7d
Approved�
APPLICATION FOR APPLIANCE ERMIT
Date l i q 196 %I
FEE$
Zontr.
n
Address L30 Sr
Phone 3,
State LicenseS��%-Zi•1
Approved
Opp [i coots agree not to violate any of the
�
Vorkman's Compensation fates of the
;tate of California
I
RECORD OF INSPECTION APPROVALS
Euf. 6,04• %"'
BUILDING
DATE INSPECTO
PAD FINAL
FOUNDATION 6
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. �0 Vi
DATE
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
F*-
FIXTURES
OTOR S
MOTORS-
v�
FINAL
FINAL-
U. F.
L
MISC.
gyp.
ELEC ICAL
INSP TOR MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH - A
ROUGH COMPLETE247i -J
C
MAIN DRAIN - �7 7
FINAL PLBG. -27 `�
FINAL GAS -� _ 7
FINAL APPLIANCE -
DATE
MISC }�i9 * 4f, v
MISC t��TA4- r-jgC;�
MISC.
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ....... I ............ 19.7.3.. Building Permit No.
The Building Located at ... ...... .....
Owned by
Has Been (TPG"Rcr Use As: ...... 7�_.�.f . ...................... -------------
(Altered)
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