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FILE 51167.3Lot No. No. Str t APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No.-rl,/Z 7,J �- q �G/, Sanitary No. G 40 Do to / 196 �— to be occupied only as is hereby made for a permit to story, Type v /1. in accordance with Plot Plan, Plans and Specification filed herewith, �Estimated Value of Improvements FEES SlD,.tO` Dwner� Vfr(A Cont,. Plan Check $ /o Address ��75• �^sr f � 'W—J' ye .ems Address Phone ��^�����`� State License Approved WILLIAM D. BENEVICH APPLICATION FOR ELECTRICAL PERMIT -Date FEES �?J.60A/J n11969 Contr., �AiP�eCP/!P/V Address UJ'Aav W Phone ����5 yip State License � '' . Approved &;'o�'j/ APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 If/ GAS FEE $ �•.S`D PLUMBING FEE $ Contr. Address �! 3 /0��^79 Phone cl. State License _ Approved WILLIAM U• Bc•IYE1/ICN APP ATION FOR APPLIANCE PERMIT �� �a; Dote FEES ,Q �ys _ /q�� /�� C ontr. "r•^•w/ Address j** J. /��y+e/ 'tc%�'�Wty"'r phone J State License �12p a.1 Approved Applicants agree not to violate any of the I, f Workman's Compensation Laws of the v State of California - fl RECORD OF INSPECTION APPROVALS hvw,.Q--lP—r7-69- FOUNDATION �� ` ' of BUILDING cwG z to ctor UNDERFLOOR 5/1— Date Ins pe FRAME �2 ^Zj-- 6 Dat.ectod LAT PLASTER ZS e _G Ins or FINAL D G Do to Ins nectar ELECTRICAL SERVICE SI TERIAL .OUTLETS TOTAL FIXTURES FEE SWITCHES Dgte J RECEPTACLES nspecter ROUGH WIRING FIXTURES e Q H.P. CHARGE ra PERMIT FEE FINISH WIRING — TOTAL FEES atd —g_ I or Ins nectar ELECTRICAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SERVICE SI TERIAL UNDERGROUND TOTAL FIXTURES FEE UNDERGROUND Dgte J nspecter ROUGH WIRING BLOWER FURNACES e Q n ra Inspector FINISH WIRING — MISC atd —g_ I or tInspector MAIN DRAIN FIXTURES Date for Date PERMIT FEE 4 Inspector Motors Date for �Dgta nspector FINAL YY Date Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE TERIAL TYPE OF APPLIANCE TOTAL FIXTURES FEE UNDERGROUND FIXTURE FEE REGISTERS PARTIAL ROUGH — --a6 BLOWER FURNACES e Q n MAIN DRAIN FEE ROUGH COMPLETAA MISC atd —g_ I or STORM DRAIN FEE MAIN DRAIN MISC Date for WATER SYSTEM FEE PERMIT FEE GAS PIPING ' FLOOR FURNACE Date for GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC trate 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 Data Inspector ROUTE SLIP File No.6/ /l7 - Da t e l7 Date Location3�-/0Sf im 0.e., Subject Notes Approved Jr- Date I spector CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ..... ................. 19� - --- Building Permit No. 4.1147,3 The Building Located at .... 0.. -Ax . ..................... n ................ . ............................................. Owned by .............. 7--j Has Been (Completed ) For Use As: ............... .................... * ..... .......... * -------------------------- - ................................................. ........... ........ ............................................................. BUILDING INSPECTOR 102 12/66-1M OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO To. . ........ ...... ... .. ..... 196 ? . You are hereby aut z 't fonnect ectrical sek�ice for Owner or Tena ........ &r1c1l .. ............ At ... 'IeL . ...... No. of Wires .......�......... Size of fres ...... !�: ... !�{ Size of Switch, Im-6- Motor Load .......................... Voltage ......................... Phase .................... Heating Load ........................ K. W. ....... ................ . Voltage ................. No. of Meters ..... I �ervict. "IeL.-CLI ............. Ligh':::::. - "I No. of Add. Heat. 220'- ..... o T Service........... Power ............. - Wire Meter.....:........ P '�a move GAS SERVICE NOTICE orrtcs q COPD 'BUILDING INSPECTOR'S OFFICE CITY OF CUPERTI O/ p o1�r �...._._._........._....., 196./. To You are hereby/ a�uutthoriizzeed- to connect the GAS service for Owner or Tenant� ..... .. L,?pc/ ........ At /0. 3�. aac . . - New Service :............�.. No. of Meters .__.__.. _.. Reconnect ._....__................'... . Move Service ...._...............:.. No. of Add. Meters .............. Move Meter .:....._......... .. 4 .. ............................ PLUMBING INSPECTOR Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit_ No..... �`I ❑ Y Y✓?, .......... ©-"Plumbing Final Plumbing Permit 7,�... Lot No. ..................... Owner or Tenant.L1zC.A 4........................ ... -------------- Trail ...........--�`---=-''���- � � ..,. Date Connected ............................./ ................. _.. 19zfG.. t Date Final .................................. -...! ...................................................................... 19..9.. ............rt'..C...... .t........ Cr PLUMBING INSPECTOR 111 12/66-1M