51189 / y-
I • Lot
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.��'�
File No.
Dote �'�� 196 9
Application is hereby made for a permit to
LM&A a .story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith;,
Estimated Value of Improvements $
FEE$ ^y // Plan Check $
Owner S../`sf `-'t/J^-�--/ Address
Con, -Address
Phone `S' 3'O State License
-2 ,!1- 7 7 Approved
�i
i
APPLICATION FOR ELECTRICAL PERMIT
c
Date �l 196 J FEE$
Contr. -( .Q �eL�c�_. -Address 7
Phone✓ ;236/ 0 D State License c,2.2
Approved �v
APPLICATION FOR PLUMBING & GAS PERMIT
\ Ov
Date 1y -�G 7q6 � GAS FEE b —
PLUMBING
�fFEE \$� ' •`C-�•
Cont'. C Q� Address
r
Phone - `�� 1 - `-�� O State License
Approved,
APPLICATION FOR APPLIANCE PERMIT .
Do to d 9 196 70 FEES /�
Contr. Address A-7 7-'-?1
Phone ` 13-
State License, CC/Z� �'r`'��6�/�Jf�
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State, of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION CO i
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE IN PECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING ja
FINISHED WIRING 0
FIXTURES `
MOTORS
FINAL
it
PLUMBING, GAS 8 APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
W O —
UNDERGROUND ROUGH t
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN g 9
FINAL PLBG. to 1-741 gi
FINAL GAS -IO -7D i
FINAL APPLIANCE
UM06R G4wtj O Gr RS f lr6 /m+ civriow TMT ox 2-5'70 $.
,,•• DATE e� INSPECTOR MISC.
MISCW r i 6 7 —lbw 7p 0
MISCsift 1wla„S, O or. 3
MISC3,7'R1/z
i ,
. Bldg. Dept,
. Office Copy
CITY OF,C P -
U ERTINO
SEWER-PLUMBING NOTICE
Sewer Connection SanitaryPermit N . .h.. �.-/
' oC'2:. r
g Final
nal
-,Q Plumbing- Permit No. .?.,-....5�....•...._.:.... .
Lot No. ------
�}
Owner or Tenant ... :..._--------- -------`--------:----------..............
o 1.0 LZ
y- - -
Tract
Date Connected .......�.. ..j ... --- .6....'
// .......... .. .... ..... .1-----. 19..
;Date Final ...............1a........�. 7.. 7. ........ `..` --- 19..
----------------
PLUMBING INSPECTOR
.", j OFFICE COPY. .
CITY OF CUPERTINO '
ELECTRIC SERVICE ,NOTICE
To .
I You are hereby a hai, to conned electric1 service for,
Owner or Tenant
No. of Wires ...... ........ Size of Wi s ::..:.. ...:.. ........Size of Switch
Co._.._..
Motor Load ..........
.......:...:....'Voltage '_;__..._...........:........ Phase
Heating Load..........:.............. K. W. .............. Voltage ,.. _
Light._.....-.... IIU:..�Alew Stn'ice_. <crunne<t.:.........
No. Of Meters.._...:. - -
• (1(HeaL..."...._..... 220..._/''vee fire\. .. ?I;,cc Sen'iic.:"."_ . , .
No. of Add. Meters......."_..1 ,
.Power.'.........._.. Am rLe :i ..... ..... \fuoc Meter......:.
CT.
GAS. SERVICE. NOTICE 6 Fc
ICE
..'�. COPY- .
' BUILDING°INSPECTOR'S OFFICE
CITY OF //CU� PERTINO
C� 7... 7d. . ..: 196
To.. .
You:are hereby^authorized, to connect'ther.GAS service for .'
i/t-t2 '.Co(,/ r.'
- Owner or Tenant . .__ ...
L .
At
._ -a• New Service.
„^ N_o. 'of Meters.'. - ..:e. . -. -`, , .'.
. ., . . . Reconnect �.:: _..�...... . .
,
Move Service
No',of Add Meters T Move ter
•
...... . .... V,-
.' PLUMBING INSPECTOR
ROUTE SLIP
File No.
Dated/-Z�_
Location / O� .r
'd.y
Subjectne�/'oCl/G �s
Notes /
Approved R 3/=Ay
Date Insp or
f
ROUTE SLIP
File. No . ILS—
,. Date
Location c�� 7
Subject
Notes
Approved '
Date Inspector