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NO PERMIT NUMBER lz7l" Lot No n3� No. Stre APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO { File No. /)4 rQ✓ Sanitary No. Date__!¢�(�196-O� j Application is hereby made for a permit to T a story, Type ��✓ to be occupied only as - in accordance with Plot Plan, Plans and Specification filed herewith„ pE�stimated Value of Improvements $ "R4� ��� jl FEES /t Jo• ar to Plan Check E Owner Address /0 Contr. �J wtD _ Address swiI s^'r Phone V.S/- 1//19 State License Approved WILLIAM D. BENEVICH / 2/��Q� APPLICATION FOR ELECTRICAL PERMIT Date 1 196 FEES 23.7G� Q Contr. Wyr���L1�1-- Address Phone _ 1 36'S f':A State License e/?-7 Approved A/ io• APPLICATION FOpR� PLUMBING 8 GAS PERMIT 41 Date 196 a GAS FEE $ PLUMBING FEE $ V 3.a Cont', `` 4 Address 3 / Phone - 2/// ��S 3State License /6eel Approved WILLIAM D. BES APPL ATION FOR APPLIANCE PERMIT - Y Date 196 FEES yp ^ - ,p^/ Contr. Address 4,U �/• -6im4 Phone State License - UZ 1".2 15 Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION ' /—.8-0pBUILDING C.�tta.c.VrW D UNDERFLOOR z' p t� y Inc Dat 0 Ins e o FRAME 1 Dar —k n pe o LATH PLASTER te In ctor F NAL i t Ins Dec tar ELECTRICAL ,OUTLETS SERVICE SIZ SWITCHES UNDERGROUND p ctor RECEPTACLES ROUGH WIRING _Lla _f Inspector FIXTURES FINISH WIRING —Dr l� JA _Tr_(g_ CHARGE FIXTURES Da}� � tl\nspector Inspector TOTAL FEES FINAL `� PERMIT FEE Motors Tare (, tj � , pector Date .-Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL /z :_j 6 8" & iL WATER SYSTEM— SIZE TERIAL TOTAL FIXTURES UNDERGROUND Q FIXTURE FEE PARTIAL ROUGH 12--W-9f el-- Dote ctor MAIN DRAIN FEE ROUGH COMPLET '7'6 ate for STORM DRAIN FEE MAIN DRAIN —/7� to ctor WATER SYSTEM FEE GAS PIPING n� Dote for GAS PIPING FEE FINAL J9 Date Ins pa<tor PERMIT FEE MISC Date Inspector TOTAL FEE MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS 'I- BLOWER FURNACES- COMBUSTION VENT SUSPENDED UNIT , MISC GAS RANGE MISC GAS DRYER PERMIT FEE - F100 FURNACE TOTAL FEE Dot Inspector _ CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date .....�/.............�3............... 19...6.Y. Building Permit No., The Building Located at ,1.4--- . ..... .... . ....(... ---- 30"),............ Owned by .......... ..................... ..........................4---.......................... ...... ..... - Has Been,' (Completed) For Use As: ............................................................................... ....................................................-----...........................I................................................... - -------------------------........................................ .............................................................................. ................................................................................ .. ...... ......................... ....... ..... ......4--- ...................... BUILDING INSPECTOR 102 12/66-IM GAS SERVICE NOTICE com" j BUILDING INSPECTOR'S OFFICE CITY OF CUPERTI� 196e- To You are hereby authorized to connect the GAS service for Owner or Tcnant ....4 .. ...,..'..�Z.G<......_......... ....... At ..l�d'�'.S"--A. . .._✓_ r. ............. ... ........................ ......... .......... New Service `� .......................... No. of Meters ..... ........... Reconnect ............._............... Move Service .... .......... No. of Add. Meters ........... Mone Meter ......_.____...._... PLUMBING INSP17CTOR _�..f•.. d F Yd �� - - d , ��• ..�.., ice. {`; i.-. _ - Seargr its $ _ • ( ear`� � �, _ nor WIMS aRqu MY or Cupg&Tmi T I DO ISN . i OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO .......-..... ....... 196� To You are hereby auth r z d Coll t electrical service for Owner or Tenant ............ &1ectri-cal ler . ...... ... ..... . ... ............ ..................... At ............I..USA.,!r... '11� ............. Si' - No. of Wires ...... Size of it ... Size Of Switch JM fq- Motor Load .......................... Voltage . .. . .. .................. Phase ...... ...... Heating Load . ...... ............. K. W. .........._..._._..._.__.... Voltage ...... .. ....... No. of Meters.........' . Light.. New Service Keconneu.................. No.of Add. Meters---�::,*�: He.. .. InP1.2_0_...... Tfir i, ...... Move Service._...._. : Power.......__..... 'let............... ..—...... ...C"CAL ..l"Pc E I WILL NOT VIOLATE ANY OF THE WORKMEN'S C _,_ awseEseecIFOR,A _ / \ ` \ - \ J s § ; ; ( \ % J6� � }/ - 2 � / & ! , r > » . . ( OL {{/ 3 ! ° ■ fCIO-0 \ � § � \ 0 cL n® E ft § n }EE � /42w . NIBLR 11,0 MUM UNITS FErOl X UNITS FEES Wnter Heate laterial Water Closets Bath Tubs rb ihowers op. Line Lavatories isting Kitchen Sin . onn. is Washer Sewer Boxes Waste Disposa t(/as7i Trays NSTOR DRAINAGE Washing Machi Water Softeners gat Sinks rain Comb. Sinks rays Dental Units Dnn ing Fountains F oor Drains YSTEMuppers RestaurantSinks San raps TAL FEESnna s e �.r�ea rains Main Drain Fee i water Leaders Storm Drain Fee Sprinkler Valves Water Sys. Fee Permit Fee SU TOTAL TOTAL FEE 3. D RECORD OF INSPECTION Underground Rough... Partial Rough.. Rough. Complete.. Main Drain ' Final...