NO PERMIT NUMBER ti. 1..., Lot No//;?
No. Stree
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO p
File No.
Sanitary No.
Do to . 196 '
Application is hereby made for a permit to
Ttoa eta. story, Type S— T -7-
to
be occupied only as
in accordant w' h Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements s C.Z7. C6 o 02"-7
p
FEES Plan Chock $
Owner Address
Contr. Address
Phone - State License 14�1 7 1-,,
Approved
` APPLICATION FOR ELECTRICAL PERMIT
Date .S 196 e' FEES oZ L' U S�
Contr. Address �.2 �
Phone ?3(. �6`��-/ State License
Approved -�
APPLICATION FOR PLUMBING & GAS PERMIT /
Date y 196 g GAS FEE $
PLUMBING FEE $
Contr. _� � (J�/u/Ti Address
Phone a�s�'o1 c� .l.A State License �9
Approved
APPL CA TION FOR APPLIANCE PERMIT
Date Q �1/% FEES
Contr. Address /.j� U / +--•�-./ �—
Phone 3�rf" dj,�/c State License
Approved WILLIAM D. EENEVICH
Applicants agree not to violate any of the '
Workman's Compensation Lows of the —
State of California N
RECORD OF INSPECTION APPROV �D
'--/6"6� _ � BUILDING(� �L>,�a.Ci�-�1
FOUNDATION
/DATE INS TOR
UNDERFLOOR 30
pp gA TE I TOR
FRAME
DATE INSPE OR
AT PLASTER '�3 -6�
I/ p ATEO/✓
IN SP OR
FINAL
DATE INSPECTOR
ELECTRICAL'
ELECT. SERVICE
GATE INSPECTOR
UNDERGROUND
DAT INSPECTOR
ROUGH WIRING
OA_T INSPECTOR
FINISH WIRING
p DAT INSPECTOR
FIXTURES - l 0
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
DATE , INSPECTOR
-PLUMBING & GAS
UNDERGROUND
' DAT SPECTOR
PARTIAL ROUGH _
DATE SPECTOR
ROUGH COMPLETE
DA SPECTOR
MAIN DRAIN -
DATE ,INSPECTOR
GAS PIPING
ATE INSPECTOR Ck
FINAL '�
DATE INSPECTOR
MISC
DATE - INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE- INSPECTOR
MISC
DATE INSPECTOR
MISC Adak
DATE PECTOR
i l+
MISC
DATE INSPECTOR
ROUTE SLIP
.File No .
Z2Daae',- /T - 6<
Location h7.r0• 113 pp
Sub,j e c t = ACc�a.,lil' .A1A-,cam( f
Notes IF
Approved
Date_ p c or
CERTIFICATE OF '' COMPLETION ', ,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ............../...... ............ 19 5 'Buil ing Permit No.��-0-17
n'g Located at '��J I -------
. .............
The Buildi . . .. ......
Owned by ------- ..... .... .... .. ...........
............
(Completed)
Has Been For Use As:........................... ------------------- -------- ...... ------------
(Aft"64)—
.......................................... ..................... ----------------I-------- .....................
........................... .........
...... -------- ..................... ...........
................................ ---------------------------------------------- .............
---- -------- -----------
.......... .... ................... ------------ ....................
BUILDING INSPECTOR
102 12166-1M
f / ` n
I I 11 ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OI' CUPERTINO
...... _....... . _ ....... 116... ..
To
You are hereby au hoP'ze ., o-co ect electrical service for
Owner or Te nt ......... .............. ........ ... ...._. . .. ...._..
At .... ............ ..L6�1..........._...... _..:.. ..... ........... .:.. ...:. :........_.^......
No. of Wires ........................ Size of Wires .... ... .....'....Size of Switch 1.;PO Y
Motor Load .......................... Voltage ........ ....................... Ph ase .,...... ._............
.._. ..,
Heating Load ........................ K. W. ......................... ._...... Voltage . . . . .
Light...... .. IIU./ ..._...�1V Service �Reconnect......
._.._.....
No. of Meters................... /
No. of.Add. Meters.....:......
Heat. 220............ Wi .....:. ....... Ove Service...........
Power...:........... ee Ph .. .. .... i Move Meter: .......
ELECTRICAL INSPECTOR ,
GAS SERVICE NOTICE OFFICE
COPY
" BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
9...:�.........:..:......_'.a .. lp ..:...:..':............. t91. '.
To ••You are hereby authorized to connect 'the GAS service for
Owner or.Tenant ...! .iC_ �.... ��.��.,...•........c.'`.. .1.N.�.... ,.
C ... ....:..
• A!• ..�����...-... .New Service
- � . . •.
No. of Meters ................. Reconnect ..'.:.... ...
. Move Service ..:'...._.:.........:...
No. of Add. Meters ...... ,',• . Move Meter ...:........:...........::
PLUMBING INSPECTOR',
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ------
Z[/Plumbing Final Plumbing Permit .......
Lot No. ...//a...........
Owneror Tenant ..... .. ................................................
At .... --Za/............
Tract .........
DateConnected ................................./. ..............................................--------- 19.4Lg
Date Final ................................... .
. .. - e
......................
.........*.....
. ................................
j
BT?
PLUMBING INSPECTOR
111 12/66-IM