NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Date b 196
Application is hereby made for a permit to
a story, Type
to be occupied only as ,
in accordance with Plot Plan, Plans and Specification filed herewith
Estimated Value of Improvements S
N
i
FEES r Plan Cheek $
Owner / �/►� Address �jI
Contr. 7 �T�� Address 71Ff..� ^'� AW
Phone t� .I—I. 176 G State License �� ��' � O s/
Approved k1.B' .�..�
APPLICATION FOR ELECTRICAL PERMIT
Date J 196 / FEE$
Contr. 1 — L Address / 7 (<
Phone ,2-cc — 7 S i 9 State License C- 2-Z �en '2, 6
Approved ✓ 1 ' -
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECOWD'OF INSPECTION APPROVALS ,
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
G
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO,
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
.ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
` t
CITY OF qU PERTINO
10300 Torre Ave.
CORK
NOTICE
Department
Job Located at16
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YBU M hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made Va, in�ector.
0�t*r 4
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252-4505 --- ............
City Telephone Inspect
V CITY OF CUPERTINO
10300 Torre AVe.
CORK CTION NOTICE
Department
Job Located at
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You are hereby notified that no more work sha-1'1--b-e
done until the above violations are corrected. When
corrections have been madethe i Spector.
252-4505 Date
I sp
City Telephone n e
CITY OF CUPERTINO
10300,,Torre Ave.
CORREITION NOTICE
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Department
Job Located at Zv�z.5!3....&.424--------------
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You are hereby notified that n o more work shaII be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: ....e�z 49 ----------
City Telephone Inspector:
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T FOR ELECTRICAL PERMIT
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U 8— 1969 ITY OF CUPERTINO
W LL
° 111 3
Date �� ♦a�4 19'�� Permit No. `S
CITY OF
CUP I-ce
V)
Application is hereby made to the City of Cupertino for a permit to install electrical
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
'> City of Cupertino, and all other laws
applicable thereto.
z Use of Premisese=�It-AC-.tC-- tt_YlSf-4 1%M M MCLS
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_3 a Owner �C1�12 ne�17iM Address Or 'T �. d1V1'tA>z;R
wz By �keMol% Address 14 3. VA Itk -1004PKrx CLt
QO CONTRACTOR, AGENT A roved
U Phone: Z�Fi�i-+ ' ��11� PP
ececrx�c=��
State License Gt� P..4021R IV/
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AN FOR APPLIANCE PERMIT
w QJUL CITY OF CUPERTINO
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all 1r��e ' 196-7Permit No. J ��•�
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Ago
W LL Fee $
s ° pplication is hereby rrmde to the City-of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
F F Code of the City of CINertino, and all other laws applicable thereto.
S W ,Use of Premises
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Owner'L-7
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a < Addres4lJ1S3 r— (.$ Z%L Uq
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o By 1 Hyl Address �
3 F CON�AGENT I
m Phone
„a o tate License L3 ( U Approved_L11C /4
—U PLUMBING INSPECTOR /64 j
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