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NO PERMIT NUMBER (2) 21556 I MONROVIA STREET Let No. 236 No. Street APPLICATION FOR BUILDING PERMIT (403) CITY OF CUPERTINO File No. 51145 Sanitary No. 4656. Data Dec . 20 196 5 - Application is hereby made for a permit to Ere Qt a I story. Type 5-1—J to be occupied only'as Single Family Dwelling in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements f _24,000.00 FEES -75• 00 Plan Check E Owner Ward Crumip Dev. Address P. O. Box 634 Centr. - by Ray Crump Address Phone 253-0800 State License 1926Og Approved W.D. Benevich/h i APPLICATION FOR ELECTRICAL PERMIT // y! Data �-� � 196 _ FEES / 'T Contr. ,t/�rt -u-c-+` / �C�-C�,.'r-tA6drass _.7ZD led lLfC- Phone State License �76 9 �9�' •; ' Approved C ", %6, APPLICATION//FOR PLUMBING & GAS PERMIT Data 2 196 b GAS FEE $ n / /I PLUMBING FEE $ ` 7 Contr. ✓`4-_-`'�"-' !/✓"'^ e4 Address Phone —3 :Z�- State License l/'11a� 0. 116 Approved APP�jICATION FOR APPLIANCE PERMIT of Date - 7 196 b QD FEES U Contr. o J/ �' "�s Phone - F/- -2-6 O r State License 08"oZ-8� - Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION a ^ /- 6�- BUILDING a pactor UNDERFLOOR — ' �.D a Pector FRAME d;(Qp // LAT PLASTER of-d ' -b y Spector ./ a_t nspector FINAL T Date Insueetor ELECTRICAL OUTLETS. L� SERVICE SIZE SWITCHES. L , OO UNDERGROUND D to I ctar RECEPTACLE/ -3 ROUGH WIRING to actor FIXTURES / 0 FINISH WIRING I ns p ,7 2 x7r to Inspector H.P. CHARGE av FIXTURES Date Inspector PERMIT EE /1r Motors toSpector TOTAL FEES ' / FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE %'ATERIAL WATER SYSTEM SIZE —rnATERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE /a rn PARTIAL ROUGH - -l` Dote MAIN DRAIN FEE o2 O� ROUGH COMPLETE n Do to tar STORM DRAIN FEE MAIN DRAIN �- n- 9je s r WATER SYSTEM FEE / � GAS PIPING 2//- 7 (y(� to GAS PIPING FEE �` FINAL � - D Date Fmn.ctor .PERMIT FEE �- MISC ygy Date Inspector TOTAL FEE d MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE YO CIRCULATING HEATERS � REGISTERS / a- 3 r�- 1 BLOWER FURNACES / COMBUSTION VEN/T SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE oZ`� FLOOR FURNACE TOTAL FEE 0-9 INSPECTED - Dote Ins pe c tot ƒ � �' : ■ \ � i • © ° ° & : § � V 06 §_ § ® « § § L4 \ � • Bldg. Dept Office Ccpy BUILDING INSPECTOR'S OFFICE CITY Or CUPERTINO r] Sewer Connection Sanitary Permit No. -------------- Ej.,Plumbing Final Plumbing Permit No.4!r//.-,e------------- Lot No. ---------------- Owner or Tenant .............................. At Tract .......... ----------------------------------------------------------------------------- Date Connected ...................127r?----------------------------- ------------------- 19.11101.i� Date Final -------------------------- 10, ... �xp------- -- - ------------------------ ---------------- 19 �- v4v�--------------------- --------------- PLUMBING INSPECTOR Ill 7/63-IM GAS SERVICE NOTICE OFFICE c!4 corp BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO i �[ ...._........_......!.......� .....__... ....... ......... 196.0. To You are hereby authorized to connect the GAS service for Owner or Tenant ..._Cr(/a-2—% / .......................... At ... _ l.. .��. ........-///.00yL�.� .. .G✓. ....... New Service ...... No. of Meters .J./............._.. Reconnect .............................. Move Service ... .......... ......... No. of Add. Meters _......_.. . Move Meter ...... ......... .................. PLUMBING INSPECTOR OFFICt COPY CTRIC SERVICE NOTICE ELECTRIC INSPECTOR'S OFFICE CITY OF CUPERTINO TOI . ­­ ....­ 4....... ...... ...... 194— You are hcregl Our orized a6co ect electrical servi Tenant ............. 8 Owner or Ten At ......... ........... No. of Wires ........ ......... Size of Wires ---*�.v... Size Of Switch Motor Load .......................... Voltage ................................ Phase .................................. Heating Load ........................ K. W. ...................._..._....... Voltage ........ .......... No. of Meters.... Light�� 10..-- �N Service........Reconnect..__............ Heat.. No.of Add. 220............ e, Wir ..... Move Service............ Power......... P Move Mete ........... . .. . ...... .. .. .... .. .. ELECTRICAL INSPECTOR •RCUTR SLIP File No5z5 Date Out 9c / Date In , Location V-e-w , 013 # r Subje--t . A—rte .,Notes App:ovedv¢/S ''✓. 'IAA-IL, _ Date Inspector ROUTE SLIP File No . Date Out Date In Location: Subject , Notes Approved �y� 41. --- Date Inspectbr i Tc- I' _ �✓ I � C L r:1 �