NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Date 196
Application is hereby made for a permit to
l ,11 - _ story, Type
to be occupied only as
in accordance with Plot Plan, Plans and.Specification filed herewith,
'E estimated Value of Improvements $
C9. '/
FEES " Plan Check $
Owr,er Address �Q Q� /�
Cont,, �r Ld Tress Jidda "'""'�^^' �"^�^�
Phone � �/ Jr 7 State License A j t-� O
Approved �
APPLICATION FOR ELECTRICAL PERMIT
7 '7 �"
Dote 9` Z— 1967LI /FEES (
Contr, /r�-r� Address `Z Z
Phone ,�1- - 0 3�- 3 State License -2 y
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 7 196 ;z GAS FEE $
PLUMBING FEE $ �O '»
Contr. Address 522 7` ^^Z /9"
Phone -7 1 - A ;6 ,2 s State License d 3 3, 3
Approved - e
APPLICATION FOR APPLIANC /PERMIT �—
Data 196 FEE$
Contr. Address
Phone State License
Approved
Applicants aprec not to violate any of the.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
ATM PLASTER O
GRADING FINAL
FINAL BLDG. O
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRINGOt
FINISHED WIRING /T 1 v
FIXTURES /
MOTORS
FINAL y/ D
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH—
ROUGH
OUGH ROUGH COMPLETE �® •��
MAIN DRAIN
FINAL PLBG. a
FINAL GAS
FINAL APPLIANCE zOSA/�o
DATE INSPECTOR MISC.
MISC
MISC
MISC
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE,
CITY OF
CUPERTINO
Date ........... .. . .......LL� /� 19-/,6-- Building Permit No.�7�.%.�....
: ..
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ThThe 3{91 Ger
e Building Located at ---:....�........................._-- -.. .-----........ .......................................
Owned by ._... .7.f..L'y flm L'J til__, )I l i%(/T�
..................... ......... .... ........... ..._.......... . . -------.....
Has Been -------
(Co P } Por Use As: ..............-.��� ....._.....---( .............
(Altered) y�
-'- ..... .... ......... ..._.. .............-ice.... ... ............. -- ..... ..................
..---_.................. ................_........... ..............._..._......_...._..................................----.._......----....
- .........:.n......... t.----._.....---........--
..............� :..... .... ..........
//BUILDING INSPECTOR
102 12/66-1 M
1034
NO.
No. STREET
i
W TI ' WFOR BUILDING PERMIT
Ep
r o IT�'�!' CUPERTINO
2 g ' Ij_ _,' IJ Sanimi, No.
-
3:3 if FE 9 1970 � U Permit No. r///J
w 4 Date
= O
a � Al r mit to y.1 �d
IOi a� tupgrIpp
Z N .lam/c story,Type w /41 Building
r to be occupied only as,� �� KOO err in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Pee /.2
" Estimated Value of Imptovements, S 7 000 Pee$ CA Se
03
o J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
0 Cupertino will be complied with.
3 aOwner �i=/✓1Inf6W7O/1/ Address
w z
WW By ��—f� AZ rh 9� Address01
2GG7 �/C 46YF
1 hon Approved /
State License -2 3 : yo I nou.owC tNSITCTOR r/ W
m rt NO. 5r E171 LOT NO.
z 7
r ° �� TOOW FOR ELECTRICAL PERMIT
5 a ®
U .Tl' OF CUPERTINO
° D 19 .20 Permit No. —
4
° r< Fee S
z m A))I cation is it ti he City of Cupertino fora permit to install electrical
w x t �m { s m the reverse side hereof, and agrees to install said
wiring and/or fixtur in �ccordanre with the provisions of the Electrical
0 o Code of the
° City of Cupertino, a]d a other laws applicab thereto.
03
o a
z Use of Premises
Z
3 a Owner Address
w z By j:e =� ' ( i Address
° Y CONTRACT/ , AGENT
Approve
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