NO PERMIT NUMBER Lot No./ OF
No. Street ` Z�
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 7p
Sanitary No.
Date 196
/ A plication is hereby made for a permit to T
a story, Type
to he occupied only as
in accordant rth Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 01,i d d 0
FEE$ 6 •' ane- Plan Check $
Owner 40::� Address nZ 02
Contr. Address
Phone `rJ State License
Approved /,f/
/rR
APPLICATION FOR ELECTRICAL PERMIT
Date
'S'p2Q 196 21 FEE$ =a 1_
�t
Contr. //-Oyf(/u- ((/ 111L,&6
L, OA 1—A—) Address 2S
Phone / ?af State Lice
WILLIAM D. BENEVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 1y" 196 GAS FEE $
PLUMBING FEE $ `` a .t
3.. -1.)
Contr. 26-L+^�� Address /Y i Y /l.- f If
Phone o2 y��( - 1 3 State License t�7 S
Approved WILLIAM D. BFN0nf-W
APPLICATION FOR APPLIANCE PERMIT
Data ��c^✓�/✓ 196 � FEE$ /O�j. 4--v
Contr. Address "
Phone .6 f--o�2g a State License 1Q�,Q2.F k
Approved
Applicants agree not to vinlate any of the
Workman's Compensation Laws of the '
State of California
RECORD OF INSPECTION A ROVALS
� V - ' 2q 61 BUILDING
6''i4 -J -za8 �.:—j
FOUNDATION S- �t3 6 &
DATE IN TOR
UNDERFLOOR Z-61
TE WS P TOR
FRAME —Z 6DA _
DATE INSPECT
LATH PLASTER 2'
- 4DtTE N PECTOR
FINAL -�
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE -LNZ-PEC/OR
ROUGH WIRING -�?- - "6
DAT INSPECTOR
FINISH WIRING
[-teC l (\_ ' IZ INSPECTOR
FIXTURES O
DAA INSPECTOR
MOTORS
INSPECTOR
FINAL
.DATE INSPECTOR
o PLUMBING.& GAS
UNDERGROUND
CTOR
PARTIAL ROUGH-4---//-2
DA ECTOR
ROUGH COMPLETE
D E SPECTOR
MAIN DRAIN
DATE SPECTOR
GAS PIPING �"
A-TE NSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
�I APPLIANCE
INSPECTED
DATE- INSPECTOR
MISC
DATE I INSPECTOR
MISC
DATE IN PECTOR
DATE INSPECTOR
' .:RVU 1Gi JL1C
File
Date S - GSA
Location 4y 99� is c/( L c 7QA�
Subject441� �
Notes
Approved
Date Inwfector
.. 1
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ']
Date ..... . ._... . ........... C / ��... to ding Permit No.-�.���..!..'.
The Building Located at ...
Ownedby ----1 ..... {. ..........................................................l.i..e. Q
...--`J q.... -----------
(Completed)
Has Been...... kCrcd,).. PorUseAsp --•----.....................
....................
...... . ...... ....
............................................. ..... ......................-------.....------.------...
.................................. . ............. ........
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPFRTINO
To
I You are hereby autho -Z� c6nne t el &ricil service for.
Owner or Tenant &--
........... ..................... . ..
At ............
..... ........
No. of Wires .... .............. Size of Wires ...................... Size of
Swirl W
Motor Load .......................... Voltage ...... ....... ........... Phase .....................
HeatingLoad ........................ K. W. ....... ............. ...... Voltage-........................,..... .
1 Light
No. of Meters.....
ervice... Reconnect....._...........
...........
H Move Service..........
No. of Add. Meters............ at-:: 220...
Power....... ase.....
.. .... Move Meter..............
L I W.�v
ELECTRICAL INSPECTO
GAS SERVICE, NOTICE
..
.._ ... . CO
PY
IL NG INSPECTOFFICE
CITY OF CUPRTINO ............ 196
To-
You
-
are hereby authorized to connect the GAS service for' .
O
.. `J ...... //
M'nBr Ot 'I'Clla❑I ............. .._.........
,
New Service ..1 ..............
No, of.Meters ....�.........:.... ii Reconnect ......:.....................
..
Move Service ........................
No. of Add. Meters ..........::.. 'Move Meter ......................:...
..........
IlUM.KNG INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. JQ.4?........
11
Kj-`flumbing Final Plumbing Permit No,.�91?7......
Lot No. .....
------ --- ----
Owner or Tenant L
z52)
—
,e
...................................................
:At
12
- 4..........
.................... .........................
Tract .......... 'JC .1.
Date Connected ...............................
.....................W...................................
Date Final .............................. .. I
............
ALUMBING INSPECTOR..............
111 12/66-1M