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NO PERMIT NUMBER19888 Merritt Drive
NO. STREET LOT NO.
.50
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.
DATE 9ll7/74 19_
Application is hereby made for a permit to
Rp nai r Fi rp Tlstmngp a story, type
to be occupied only as Single Family Dwpl l i n8
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS
FEE S 13 - On PLAN CHECK $
OWNER M S FACta1 ani pn ADDRESS
PHONE
CONTR, Pranephkp Cnnct. Cn_ ADDRESS 499 S 1m.9 Ar AVe. Camp.
PHONE 274-788n STATE LICENSE p4pi 67
APPROVED J.A. BUSto/h
BUILDING INSPECTION RECORD '
DATE INSPECTOR DATE I INSPECTOR
FOUNDATION I I I FLOOR STEEL I I _
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS - INT. B EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
.MI5C-
MOORE BUSINESS FORMSINC., LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE I INS COMMERCIAL DATE I INSPECTOR
UNDERgROCNDROUGFk UNDERGROUND ROUGH
R HWIRI ROUGH WIRING
FINISH WIRING
FIXTrilkEs INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL -MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD
DATE I INSPECTOR i I DATE I INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS 8 INSULATION
UNDERGROUND ROUGH
FLUES 8 COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
V2
U
LOT
NO. S"EV
APPLICATION FOR PLUMBING PERMIT
CITY OF, CUPF.RTINO
Sanitary No.
Date '�` /5- 196f- Permit No
Fee �•JC�
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner -1 ,L2 / <'i
By ei L0� Lr/
CONTRACTOR, AGENT
Phone a
State License 1�3 `%)/•a
Address
Addressy�—
•b1C
WILLIAD. D. BENEVICI
Approved
PLUMBING INSPECTOR
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LOT
NO. STREET �.! T OP C,.,.-
i�(yAL3
CITY OF CIiPERTINO• C2P. {
d APPLICATION FOR BUILDING WOMIT7 197,1 ( FEES
w Z Building Par. No.
Dote - , 19
DPer. No.
.
x O �# S nitary
LL
3 Application is hereby made for a permit
U
= O a story• Type
&;F4 CNC
to be occupied only as ? in accordance with
a
i N Plans, Specifications and Plot -Plan filed herewith.
a "ddd
Estimated Value of Improvements,
PI Ck Fee $
O O It is hereby agreed that the requirements of the O -o
> w Cupertino Building and Zoning Ordinances and all Fee $ X3
other laws applicable to the construction, location, and
Z - use of buildings within the City of Cupertino will be Total Fee $
Z complied with.
3°,�
w w 9WNE
O f NTR, OR AGENT L t
a-w��2�Zt13 2•L8 to k 2z/�
PHONE STATE LICENSE
A qpT "SS
C
A
BUILDING INSPECTOR/
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90 (99e �C�iQ�%�V/�, U-2 . .LOT Ni
NO. STREET '
CflR of zT -Nb CITY OF CUPERTINO
OCT 7 / CATION FOR ELECTRICAL PERMIT
Date �c�o�e,B� Q , 197�
Permit No.
Fee $
Application is hereby made to the City of Cupertino for a
wiring and/or fixtures as listed on the reverse side hereof,
wiring and/or fixtures in accordance with th 'sions o
City of Cupertino, and oil other laws applic the to.
Useof Work To Be �R
Premises 1 - 2 t �. Performed
Owner /-l/ Address /9p.
Phone
By �yrvs f�Jn.�Q.A--n Address I
Contractor, A
Phone X14' OCA' i
State License 1 Approved
E
I AGREE I WILL NOT VIOLATE ANY OF THE WC
COMPENSATION LAWS OF THE STATE OF CAI
permit to install electrical
and agrees to install said
ILe Electrical Code of the
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Z - ¢ h ZIZ in 6
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V
/9SIVA? //16ff 17'7 /%/l LOT
NO STREET
CITY OF CUPERTINO CITI' OF CL'2E.?Tp10
APPLICATION FOR PLUMBING PERM'TEP 17 1914
Sanitary 10 �/,oe,
Date ,19__ Permit No. -s
Fee E TT7
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Work To Be
Premises • Performed
Owner/7f 1P4J "A)A it [ Address
rnone �/pr�r
gyPi?A rN�rE Cowie' Address T77 S��f HAR A%:vL
77
.�;C/ontractor, A ent i /4 / l"'OE L/ e
PhonetL7 � � ��
State License 2-112.16 Z Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
�J COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
1
(9) LA
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§
10
OFI:ICI;
CITY OF CUPERTINO COPY
GAS SERVICE NO ICE
............ .... . ....... 16 .......
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .... A.!...5_.... g -c- ........ .......... ......
At... ryf ..... . .... ......... ........... ................................
New Service ..........................
No. of Meters ......... - ...... Reconnect ...... ...
..................
Move Service o ........
No. of Add. Meters .... - ........ Move Meter .............. -- ......
.............................{:T.......
PLUMBING INSPECTOR