NO PERMIT NUMBER �0 T�I tMtl Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
r File NIQ ds^hoj—
Do to fi 196
Application is hereby made for a permit to
story, Type T
to ben upied only as
in accordance wi Plot Plan, Plans and SpecijWon filed herewith„
Estimated Value of Improvements $ of X"0 d t4
FEES 2!n6. Plan Check E
Owner s
Contr. k
/ s A dress
9.3 0 1�
Phone ` o State License 49
Approved
APPLICATION FOR ELECTRICAL PERMIT w
Date F .L 196 FEES
Contr. 77/7-77 L-�-L�-2.� Address
Phone ! 73 ;7 S Z State License �D C o
Approved � "^-+�ti�'
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Do to 1 1% ' FEES
Contr. � Address '7"" S
Phone a �F�j ' S'�'� State License ,q
Approved "j-�--��/
Applicants agree not to violate any of the " 7/
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL , 11
FOUNDATION
UNDERFLOOR
FRAME ' • _
LATH & PLASTER Q
GRADING FINAL
FINAL BLDG.
CT
ATE PE SC.
DERG UND UGH
R
FINISHED WIRING
FIXTURES
MOTORS
FINAL o e
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
0
ROUGH COMPLETE
0
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/D 4/ IW///e e /-w'
✓ ,Q NO. 5r LET LOT NO.
w Z
r ° APPLICATION FOR ELECTRICAL PERMIT
O -
O J
g m _ Y OF CUPERTINO
Tf
o Date r Permit No. lob Z O
° < I , DEC 21969 o�i�uu.+UIi Fees� �mo
<N Application is he made to the City of Cupertino for a permit to install electrical
W i wiring and�fL�[�fiyy�� es i t 600n1ptghe reverse side hereof, and agrees to install s.'d
a o wiring and o (izt res(n "dpp4N a h the provisions of Elec 'cal Code of t e
City of Cupertino, and all other laws applicable thereto.
z� Use of Premises + SP '
z
J0 DS
3 <
Own / / Address
W i By �2�iF �J Address
WW
Q O CONIRACTrO+R, AGENT A IOC'
u Phnne: .2�7' JQ Z. pp EL11 TRlra 1N C[Ol
r I State License /4/!
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22L_ LOT NO.
NO. STRERT
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
)�
Permit No. d f/.
Datelc2�r --�
'DEC 11. 1969 Pee $ .5�=
Application is.hfreby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse.slde heee9f, and agrees to install said
appliances in accordance with the Provisions4f the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises_i 1i a iC R.Y
yu
71 OwnerL/PcrVA(,1.E4 Monce RY _ Address*4 e01/-i P2 avli
By 4�' �F�yrywal Address �� �r
CONTRACTOR, AGENT Approved G
PL•one���? �/�y 11UME1NGiNSPECT01
G) L) W n C)EL
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ft it
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I OT NO,
NO. STREET
fAPPIII AfCON FOR BUILDING PERMIT
a d� tit
p ° clry or cuPERTINPEaTfNo
0 ```jjj Sanitary No.
a �y
i LL Date ' I �( 1969 1968 Permit No.
`o r Application is her byeadib"TAF'a(permittoK Fle--
a n `t, 7
i N aal A��Ue \'ts ory,Typ2r--'.F�'L Building
,'``
,w. to be occupied only as µt�SS� SDtI-ES C�RFgC�4 in accordance with
a
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
> m 'mEPN,emen
Estimated Value of Fx�prerex+enls,$ «.— Pee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
d 0 Cupertino
�,will
'be
complied with. 2`�.�P5t�Lla
3 < Owner 1� 065dAA,C& t9 � Address\02- 1 M%%-� NDa
rc a By f1:,!6 Sit r C a�t7.C SAJI t�A e� tS S=
a 0 Phone - Approve
State License V \.LLAILDING INSPECTOR