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NO PERMIT NUMBER i OSS , ' tA.t.✓ Lot No. No. Street 67 APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. S'/00 Sanitary No. Date��196 Application is hereby made for a permit to a s rib v./I'Ype to be occupied only as in accordance with Plot plan, Ifogs and Specification filed herewith, •, Estimated Value o/ Improvements S �"•d d Q FEES �`s�y - o:: n-P Plan Check $ Owner Address Contr. ^'�`'� • Address Phone Ck214S6 d� State License 91ZG • Approved. APPLICATION FOR ELECTRICAL PERMIT Dots 196�� FEES L Contr: ..// Address � Z y� C Phone' :g;z Unto State License' Approved � APPLICATION FOR PLUMBING & GAS PERMIT Date• 9/� 196 r� GAS FEE $ /JO PLUMBING FEF c Contr.- 9td-;rAddress td -;r Phone of / S '� ` O State License7iV 9 Z Lo Approved 61 p"'""n" 9 APP CA�J TION FOR APPLIANCE PERMIT Dote D 196 �/ FEES /1 Contr. l - r Address ?SA' Phon13 6 V State License ? 0 9 2- Approved Approved Applicants agree not to violate any of the e Workman's Compensation Laws of the. State of California - e RECORD OF INSPECTION APPROVALS FOUNDATION0---Z-144UILDING Date Inspector UNDERFLOOR FRAME Date / Inspector Date /' Inspector LATH 8 PLA^S'T�EpR7 FINAL "-'-- Date Ins Dector 7R , ,OUTLETS w--ft _ +.r' SERVI E SKFlo SWITCHES ' a �, RECEPTACLES ROUGH WIRING Inspector D FIXTURES FINISH WIRING �� do Inspector H.P. CHARGE I I I FIXTURES Uitr Inspector PERMIT FEE Motors Inspector TOTAL FEES FINAL 2 r- -G Ins actor �� .r &K4--w`� 9-24 6 Date Inspector loose PLUMBING 8 GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date nspector MAIN DRAIN FEE ROUGH COMPLETE " STORM DRAIN FEE MAIN DRAIN Daten pector Da I ctor WATER SYSTEM FEE GAS GJb" Y ` ate nope cto GAS PIPING FEE - FINAL ( Z-( PERMIT FEE MISC Data Inspector Date Inspector TOTAL FEE MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS . REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC ' GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Do to Ins pa c tar /Qsyy I /( . {M�. Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. O� �p Sanitary No. Dote __��L 196 A !!cation is hereby made for a permit to story, Type to be, occupied only as 0 //brX a3I in accordance with Plot Plan, Plans and pecification filed herewtK Estimated Value of Improvements $ ZQd r: FEES sem Plan Cheek $ Ownar '� � Address Contr. Address /d 9" / d- / 44U 4 Phone 02 so 7 State License 24'e 1 tom_ Approved saw 00010 APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Data 1% FEES C ontr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California ' RECORD OF INSPECTION APPROVALS FOUNDATION BUILDING Dote In ctor„ UNDERFLOOR Dae Ins pe ctor FRAME LATH R PLASTER o e specter O pector FINAL ata Ins as ctor ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Date Inspector RECEPTACLES ROUGH WIRING Dote Inspector FIXTURES FINISH WIRING H.P. CHARGE FIXTURES Date Inspector Date Inspector PERMIT FEE Motors Date Inspector TOTAL FEES FINAL Dote Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE IT.ERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE GAS PIPING Date Inspector GAS PIPING FEE FINAL Date Inspector Date Inspector PERMIT FEE MISC ofs nspector TOTAL FEE MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File Sanitary No. Do to .4L 196 / ` Application is hereby made for a pe 't � \" ^x 1•/ o�\+ foie( story, Type • to be occupied only as in ac rdalth�Algt plan, plans and Specification filedAerewith. Xs�aments Estimated Value of S 2,060- P4 FEES �s � I Plan Check $ Ow rmr Address Cont dress Q�/f ✓ fj Phone � �` State License�)daso Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California ' RECORD OF INSPECTION APPROVALS FOUNDATION BUILDING Date Inspector UNDERFLOOR DID Inspector FRAME to Inspector LATH 8 PLASTE Inspector FINAL Date ns Doctor ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND RECEPTACLES ROUGH WIRING Date Inspector FIXTURES FINISH WIRING Dote Inspector H.P. CHARGE FIXTURES Date Inspector Date Inspector PERMIT FEE Motors Data Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I I MATERIAL STORM DRAIN I SIZE TERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE STORM GRAIN FEE MAIN DRAIN Data Inspector e WATER SYSTEM FEE GASP G Date Inspctor Date Inspector GAS PIPING FEE FINAL PERMIT FEE MISC Date Inspector nspector TOTAL FEE � MISC ate Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE ?n� FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector AS SEW'IC.E ,NOTICE orrlCE COPT' ING INSPECTOR'S OPPICE CITY OF CUPERTINO ....................__...—I.......v................ ......., 1907.. T� / You are here au rized t connect the GAS service for Owner or Tenant ...._............ ....... ....... 6>L�CDs.�.......... . ................ At ..........L..O..S ......1 --...... tn. ....... . _.... . .��N4......................... 4 Service .......... ..... .. .. ......._...... /1 of� Reconnnectct ........................ ..... �CJ� Movevice ......._._............ No. of Add. Meters .............. a eter ......... _........... ... PLUMBIN INSPE O TRENCHING PERMIT SIDEWALK PERMIT' DRIVEWAY APPROACH fERUIT M 266 CITY OF CUPERTIw Fee DatW. .-q2MF?-T.: - .......7......... 196---I Permission Is Granted ....757o............4�rArcm-S....... ............... Location tjPC..S. .A.........t-a...... A.,.xc............ ....................... .. Purpose ... --- ------ ....NQ Contractor ...SA�44�-IS07.......� 0.4-�5 .......... j NOTE: All work shall y p to a% conditions 1 11 ditions co tained in Ordinance 130. Issued by \ ..----.J r. NG INECTOR W-FCOIRD OF INSPECTION TIME M E I N S P E C TOR TtTi' 8......1967 k l` I ............6.................... .......................... ..... ... ............................................... ATE TIME INSPECTOR r ................INSPECTOR............................... ,!Ty.... ------ DATT ................................. -_------_--.--T.,:--........... .................................... ATE TIME' INSPECTOR NOTE: Inspector must be given 24 ho'U'rs notice on each Inspection. 115 9/60-500 I � 4k LOT NO. l NO. STREET W a rAPP.LICATION FOR BUILDING PERMIT r ° S �� IITY�� OF CUPF,RTINO S /S r 6 196 VIP Sanitary No. = W Date , 196 ifermitNo. Q!�—/Odpa � ofor o �Application'is herebyLmade ,a permit to zIn a story,Type Bui Ing to be occupied only as in, rdance with 0 o plans, Specifications and Plot-Plan filedh rewsth. Pl Ck Fee 0 �� Estimated Value of Improvements,= Fee s � i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * = all other laws applicable to the construction, location, and use of buildings within the City of D Cupertino wi a complied with. ' ; i — W Owner Andress S W L W n B ddress �� Phone o?'/5 —/.�60 t Approved 11 ,State License '2'0 jP.7.7D BUILDING INSPECTOR