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NO PERMIT NUMBER �T it' I Cv.l �./'Wt.[• Lot No. No. Street ��/ 2_`� APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Sanitary No. Ss�s2 �- Date /a 19677— Application is hereby made for a permit to a story, Type s to be occupied only as in accarda with plot plan, plans and Specification filed herewith. e a Estimated Value of Improvements S 9 _J7S � Q 00 (o D JJ//SD FEES �• Plan Check $ 3r Owner Address ea Contr. Address Phone 0? State License G d+ Approved WILLIAM D. EIENEVICH APPLICATION FOR ELECTRICAL PERMIT Do to 196 7 FEES / S -7)Carat. _ ���--fh--� Address 6119 S— ILL ^4 Phone L--� 7 D State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 4 �- 196 GAS FEE S ^�J c PLUMBING FEE S 2.3. 3'4 Carat. __ (7Address fit-6a t%iZ� Phone r 7s —f� J State License ✓3�' S^L Approved APP CATION FOR APPLIANCE PERMIT Data196 FEES /C) SU Contr. r Address �3y �1./' i Phone 3r �'" 09. i' State License Approved WILLIAM D. GENEVIRu Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS ' _ ` - id-0 -S7 BUILDING a FOUNDATION Id I-3 �6 DATE IN E OR UNDERFLOOR 0�7ij�G DATE INSP OR FRAME i& tj--6 DATE IN SPE OR LATH PLASTER —, r 6 .1p IN SPE R ('FIN AL ^_`b /p /-,,t ATE fJ 1O INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND _ ' D INSPECTOR ROUGH WIRING _ 1 DACI 6PCCTOR A FINISH WIRING '/ IL _ DA E INSPECTOR FIXTURES , (}ATE INSPECTOR MOTORS ' D INSPECTOR FINAL DATE INSPECTOR PLUMBING & GAS UNDERGROUND DATE l INSPECTOR PARTIAL ROUGH /Y DATE SPECTOR ROUGH COMPLETE -� DA E SPECTOR MAIN DRAIN Z—1-2 DATE INSPECTOR GAS PIPING ry DATE INSPECTOR FINAL � '�-�/_ DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR . APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC DATE y CTOR MISC DATE All INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ... .13-1...................... 19. jr- Building Permit No. The Building Located at r 1 .2 r -6. ............. Owned by ..... Qlkek - ( ............................... ......... Has Been (Completed 41terad)) For Use As: ....:... ............................................. ................................. ............................................................................................................... .............................................................-............................................. ..................................... .......................................................................................... .................. t C-... I.............. 2 . ..........n.................................. BUILDING INSPECTOR 102 12/66-1M TEMPORARY GAS SERVICE DATE: ... ... . ...... ......... Fee: Z-1-14a................ ..... ........ .. . .. ...................................................... ILI .... ..... ..... ............................. CITYUF .........................I------- REASON: ----A 711�W..... ....................................................... The undersigned agrees to be responsible for the gas service at the above location, until the building is ready for occupancy, and is released by the Building Department, City of Cupertino. Phone ........ .................................. 1171/63-500 INSPE OR ..... ......4 'r- �'(A:�N-T-4=0-W- N-E--R-'f ............. Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTfNO Fj Sewer Connection Sanitary Permit No. er"I'lumbing Final Plumbing Permit No. Lot NO. ..,AK ...102 ..................... Owner or Tenant ....ze At .......... ................................................................. Tract ........ Date Connected ........................... 19..... Date Final ....................... .� ....... �/,........................................................... ...................................................... PL MBING INSPECTOR 111 12/66-IM GAS SERVICE NOTICE OFFICECOPY ISI BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO .. . .. ....... .........-... .................. 196.Jcl.l� You are hereby autho 'zed to connect the GAS service for Owner or Tenant ..... ........ At .... ............ New Service ............... No. of Meters ... ............ Reconnect .............................. Move Service ....................... No. of Add, Meters .............. Move Meter ........................ . ............... Q— PtUMBING *&SP-E...CTO. ...R. OFFICE COPY -- ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE Or CUPERTINO l ........... 19$ - To . .. on are hereby an%Lrd .. e4­eIec-t*ri,,i.ca1efor Owner or Tenant ......... ... - At .....Z..i.. l . .....---..........----.......... ... . I' No. of Wires .....�........... Size of Wires�........�...... Size of Switch'.PPA..... Motor Load .......................... Voltage ................................ Phase ................. • ............ HeatingLoad ........................ K. W. .................................. Voltage ................................ Light..-...,/..... it0.�. New Service..: .. Reconnect.................. No. of Meters....................t Ahra '[....I .. ......_..._ 220. hree No. of Add. Meters............ Power............... se..... . . . Move Meter....-....-.... ELECTRICAL INSPE R 104 7/63-500 TEMPORARY ELECTRICAL SERVICE DATE: ............t........... ....................... Fee: .4C�o ..................... . .... ................ ..... OWNER. .......�-- .77k .T ...4.�z...................... AT: . T ..... t-C. 1 LJ ......... ....... LOT: REASON: ............ The undersigned agrees to be responsible for the electrical service at the above location, until th uilding is ready for occupancy, and is released by the Building Department, CityCuino. Phone .......G..•..%�——1, — I k r5� . ............................................ .............. ......... . ..... INSPE '0 1 1/63-500 16 9;:;:: ANT OR OWNER NO. STREET LOT NO. �A - N Q x o APPLICATION FOR ELECTRICAL PERMIT LL 3 aF CUPERTINO U o Date Y J G.,,•""� ,G� Permit No. 0 a I=ce $ CSD a m Application is hereby made to the Cit of Cupertino for a permit to install electrical W I wiring an ` ixtAt�t aCUKRBOverse side hereof, and agrees to install said 0 o wiring an fixtuurre1s in accordance with the provisions of the Electrical Code of the > 0 City of Cupertino, and all other laws applicable th z_j Use of Premises �a D9ATi�GC. Le J 0 4 a Owner / Address W w By ��i�li /! 1��7�f� _ Addres G1 0 NTRACTOA, AGENT A CO ' _U Phone: -��.ypp ELECM UL IN6P8 il State New HPL Pees Size Service Conduit......................Number of Outlets.................. .......... .......... ......... .... Size Service Wires..........................Number ,of Switches................ .......... .......... .............. Size Service Switch........................Number of Receptacles............ .......... .......... .............. Size Sub Feed Conduit..................Number of Fixtures.................. .......... .......... .............. Size Sub Feed Wires..._..............Ranges................ KW.............. .......... .......... .............. Number of Circuits................... Oven .............. KW.............. .......... .......... .............. Number of Meters........................Signs.......... 'rransformers........ .......... .......... .......... .... Misc................................................Dryers........................................ .......... .......... .............. Motors.................... HP.................... Phase.................... Permit Fee $1.00 Motors.................... HP.................... Phase.................... Motors.................... HP.................... Phase.................... H P Charge................ ..... .... TOTAL FEF,S RECORD OF INSPECTION APPROVALS RoughWiring................ ............................ Fixtures ...................... ............................ DATE INSPECTORDATE IX"E".R FinishWiring ................ ........................ Motors ............. .................... DATE INSPECTOR DATE INSPECTOR Final .......................... ........................ DATE INSPECTOR