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FILE 51189
/0.2/0 I pc.w-p-rr--s�— , Lot No. No. Street ' CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT q y Sanitary No. 76 ��// File No. Dote Y 19 L Application isherebymade for a permit to story, Type to be occupied only as in accordance with Plo Plan, Plans and Specification filed herewith„ Estimated Value of Improvements $ / 4.5 ,F 9 O U FEE$ Plan Check $ Owner r� .t.( �- `f'- Address n Contr. Address 7 9 �%�'e--��//2 -cr 1-1!,1 Phone 0 State License �efef Approved WILLIAM r% Rm-mirwirw APPLICATION FOR ELECTRICAL PERMIT � Dato / � 19 7'�'� FEE$ 6C3 Contr. Address Phone —7,3 D'o State License "`�e 6 Approved APPLICATION FOR PLUMBING & GAS PERMIT Data �� 19 7/ GAS FEE $ PLUMBING FEF $ oZ.SZ1 Contr. _ (X-�- t/-"-�'Y' Address 2!2'�t Phone -.37J`* 9I:;- 4 State License i 7.2 oz of Approved ��/� C APPLICATION FOR APPLIANCE ERMIT ,�� 572Data J, //]� 19 �2 FEES - Contr, AddressySSSS Tho% PI4CQ- rrPrn-EYIi�" Phone —1�.� �GYC./� State Licensee .2y72 -�2 2-- Approved vApproved -fit G Alr4, Applicants agree not to violate any of the. Workman's Compensation Laws of the State of California P D.1 RECORD OF INSPECTION APPROV, S � BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION . UNDERFLOOR FRAME / LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING 1' FINISHED WIRING ^� FIXTURES MOTORS FINAL PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REQ. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH 1 q ROUGH COMPLETE LffprA . MAIN DRAIN FINAL PLBG. FINAL GASFINAL APPLIANCE DATE INSPECTOR MISC. M15C MISC MISC I ROUTE SLIP g: , e a? Date LocatlC( S ab j e c t � -�-zeta U \Totes Approved D to ne�ecco<^ i OFFICE COPY,• .�i.CITY'OF .CUPERTINOA ELECTRIC SERVICE+NOTICE. 17v . YOU'are-hereby a thor e to conn ct e tnca service for' ' Owner or Tenant .. _ "•' l oZto No. of Wires ....... Siie"of Wires _. Siie of Sw(tCNr? �C:1 Motoi Load-...............'.:.:..... Voltage .Lr_.:..:....:.::..:�__...`..' Phase . Heating Load • .. K VV Volta e ` • '� / , Lr ht . '110 ew 5e Re(u No. o! Meters - ....... . nnect - No of Add Meters ..... Heat _ 220- "••..: rec_ ire \Inoc Sen uc _ . . ,• .Power...._...._._. r Thr se 2:: "r. . . ........_... .._... ........... .. .� ELECTMCAL ia•srrcTo. . Bldg. Dept. Vy � - Office Copy BUILDING INSPECTOR'S .OFFICE �j CITY OF CUPERTINO .• - ej 1� F Sewer Connection Sanitary Permit No.-......7.. Plumbing Final Plumbing Permit No. .:. �lA�.(.� .... Lot NO:------.. r ........ Owner or Tenant ..... . / n n n ....................... At - - Tract --....-- _ Date Connected-.----..-/-:-/.3 7 Date Final -------- - - .. 19...---- ................ - T PLUMBING INSPECTOR ( - 5 -,� :CITY OF:CUPERTINO - QI1�C •.com, ., GAS SERVICE%NOTICE. 19 " t v 1uu are 'hcreby authoueed to connect tic-. AS senicc 10", or - ' - oWlicr or 1 cnant r .: I- s.. �-.a i' // �, �: '' ;k• � New"Sen,ia '., . - Nutut+Metua -�.�_(�y . ' . :s�-� - Recongect�-.e:. NO: 6f4dd�Meters D4ogc'�Meter :d t PECTOR P LUMBING INS ; No. Street Lot No: CITY OF aFarrrto 7 APPLICATION FOR ELECTRICAL PERMIT ' JAN J i97z CITY OF CUPERTINO G 196 Permit No. E�E2 r x F Fee$ `0 0 3 .ro Application is hereby made to the City of Cupertino for a permit to install electrical wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or w 0 fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino,and A all other laws applicable thereto. ` ?: r Use of Premises L` > 3 Owner U Address ✓� �Od7• /N-yU/lCe+ 0 13Y�- �i ff�-LGLC�/ Addr s/ 3 y 11 Uon(t�ractor,Agent �✓ LZ�J © e� APPr E Phone lectrical fns c or 0 ;"; V State License 7-00�� a ' a a Q qu (h = a N l (tea\ O O`v O v O � .O ❑ E E E Z. 'Z /Z)-�- / V I lT /a✓ LOT NO. NO. STREET I n QTY OF CUFERTIAPPLICATIAPI FOR APPLIANCE PERMIT d z CITY OF CUPERTINO =LAY 171972 oDate 19,702 Permit No. 3 LLt) A I n Fee $ ' o Application is hereby n-m-de to the City of Cupertino for a permit to l o install gas appliances as listed on the reverse side hereof, and agrees to z UI install said appliances in accordance with the provisions of the Plumbing FF Code of the City of Cupertino, and all other laws applicable thereto. S Use of Premises 00 o'` a Owner �- /W Address Z, ASMAC S}�ET PETAL . 2.O Z By tlg`I`I� CONTRACTOR, AGENT NC ! qrF .. 3 ` SI—���6 FREMONT, CALIFOR,i"A 94535 a Phonr. Wz � z W W ox State Licensoa?- 7? Approved - 0 U V Aor PLUMBING INSPECTOR �, g� o P � �. � � ;z m v1 .. .LL _F � Z € o D a F • on �. c = V o 0 �� � 0 ` U [moi. y° � '� c U .. � � o 0 .r I F o U E _ .. ° � �c .c .n c � � c o u y � dao „ ` .,N � S_ = � .. �, Q a c E C[. � ? co E ou � c � i .� � _ �i � � ,o v� � o F- 0 0 0 =_ � E v o5 T. .� v v ° O .�. ._ � y ^ � .o u � �. ° a ._ ° mo o .a 1 E � � E D o n A m ti ;; o n s = 3 ? o o `o o � �; `o � � �' E > o o � o ' U 3 U LL L 3 � '.� = U 2 ti �:. _ ¢. U z ti N '=�� U � of V ='d `° F- ���