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NO PERMIT NUMBER (2)Let No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. C10,87 57 Sanitary No.41%1 Data e 1 196 A li cation is hereby made for a permit to a story' , TYp c � -41 to be occupie only ast� in accordance with Plot Plan, Plans and Specification filed herewith., Estimated Value of Improvements § �rnd1 eQY \s) FEES 07 AIT Plan Check E Owner Address • Cont'. • Address` Phone State license Approved a t6' J APPLICATION FOR ELECTRICAL PERMIT Dote rp"�, '// 196FEE$ �✓ / /f Cont'. 4 ��- ��i:t Address C' Phone 7 71" 177'.$71 State License 11 Approved APPLICATION FOR PLUMBING & GAS PERMIT a� Date 196 GAS FEE b o, PLUMBING FEE $ Contr. Lt's/`-r/�-ti" 4"'1 (fe' Address '5�y/ 024�� Phone -�yX '�s`sState License / 7/,!� 3 7 / WILLIAM Approved APPLICATION FOR APPLIANCE PERMIT sO Date �O2-n ,,/p�196 ^ ' C �/� FEES Contr. � //C"- i"c"-'�ci Address / / Phone ��' F - 0q 3�" State License WILLIAM D. OENEVICH Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California FINAL Date Ins oa clot ELECTRICAL SERVICE SIZE UNDERGROUND SIZE for ,OUTLETS / Inspector C SWITCHES a2 -d SIZE U"° RECEPTACLE Y Inspector 02 _ FIXTURES 1' SIZE ° H.P. CHARGE FINAL /� �4�ty,S S PERMIT FEE /V dD UNDERGROUND TOTAL FEES 3 70 SERVICE SIZE UNDERGROUND SIZE for Da r ROUGH WIRING Inspector FEE FINISH WIRING SIZE Inspector FIXTURES LDate Inspector 02 _ Motors SIZE ctor gg / / FINAL /� �4�ty,S TOTAL FIXTURES Date i Inspector PLUMBING & GAS MAIN DRAIN SIZE FEE MATERIAL UNITS FEE STORM DRAIN SIZE ' ATERIAL /o 02 _ WATER SYSTEM SIZE 0_D IATERIAC pZ TOTAL FIXTURES ° /V dD UNDERGROUND MISC FIXTURE FEE GAS RANGE PARTIAL ROUGH 9--:)2,-G4 MAIN DRAIN FEE U- Dat ROUGH COMPLETE STORM DRAIN FEE PERMIT FEE Datd MAIN DRAIN '72 ns WATER SYSTEM FEE TOTAL I �� Dole GAS PIPING '40 GAS PIPING FEE ��! FINAL '�� �S';O. 7s PERMIT.FEE p -u ' - Date MISC nspector TOTAL FEE Date MISC Inspector Date Inspector, APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS /o 02 _ BLOWER FURNACES 0_D COMBUSTION VENT pZ aZ l� SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL I INSPECTED �� Date Inspector ROUTE STIP File No• Date Out Date In I.oca�icn 3 Sub ec Notes — —/ _ A?Prpled �e b 'Date P.C'jTr SLIP File No. Date Out /2.-/7-dy- Date In Location subject. Notes Approved Date Inspector CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date .... ...................... 1940+f— Building Permit No.%r The Building Located at .0 ...... Ownedlt(l.�c . .... ......................................................... Completed Has Been For Use As- ---------------------- .......... jAlVe�red) :�' 1� - ......................... ............................................................ �;.: ....................................................... ............ ZU&D!�It INSPECTOR .. 102 7/63-500 GAS SERVICE NOTICE OFFICE (� BUILDING INSPECTOR'S OFFICE COPY 1l CITY OF CUPERTINO ................................ ................ 196.47 To You are hereby a thorized to connect GAS servf 'c for Owner or Ter ...._...._...2A. I. '---.....h_,.- --� r . 1 L L .................... At ....._....2 Z..�..5....._S..I.C1..( _........Y..�..5 (� ............... New Service .....i........ No. of Meters ......... t........... Reconnect ........... Move Service ..... No. of Add. Meters .............. Move Meter .......................... .................. ... .... .............................. PLUMBING INSPECTOR -110 6/63.5UO bldg. Dept Officc Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO F-1 Sewer Connection Sanitary Permit No . ....... .............. .. 2� Plumbing Final Plumbing Permit No.._,.,>./.... .... Lot No. --- - ------------ Owneror Tenant ...... ... ... .. .... . . . ---------------------------------- At ..o? /L-- ---- ........................................ Tract ....................... ----------- ------- --------- --- ------------------ Date Connected -------------------------------- .. .............................................. D;fe Final -------------- ----------------- . ............................................ — ..................... �.. ------------------------- PLUMBING INSPECTOR 111 7/63-1M OFFICE COPY ELECTRIC SERVICE NOTICE Z BUILDING INSPECTOR'S* OFFICE. �J� CITY OF CUPERTINO 1... .......!. '................... 19G��. To You are hereby aut�orizedto connect el rical service foOwner or Tenant ...............!...... ........... ..�.. r 2 . . �............. �................ .......... Size of Wires . �..~. Size of Switch �...�? No. of Wires ............— MotorLoad .......................... Voltage ............. ......... ........ Phase ................... _.-------- _ Heating Load ........................ K. /W................................... Voltage ...... .... .................... _ Light.✓........ 110 .... !�New Service.`. ... Reconnect ............... No. of Meters .................... Htat....."/.. 220......:!�hree Wire ................ Move Service............ No. of Add. Meters............ Power_ ............ T Ph Move Meter.............. ELECTRICAL INSPECTOR