NO PERMIT NUMBER /V k4— I �!�' / Lot No.
No. Street C4uKn MR rAVI,,1't r WI« RtUtASC'
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
y File Nogr
Do to 196
Application is he h made for a permit to
story, Type
to he occupied only as
in accordance with Plat Plan, ens and Specification filed herewith,
s Estimated Value of Improvements
FEE$ s-i Plan Check $
Ow oar / 1!��/ Address
(� +
Conti. sAddress
Phone 9000ti d J�x State Licea+a
Approved • a-s'
APPLICATION FOR .ELECTRICAL PERMIT
Date 196 FEE$
Conti, Address '
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Conti. Address
Phone State License
�S
Approved
Applicants agree not to violate any of the
Workman's Compensation laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
"a
UNDERGROUNDROUGH
�p
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
F PLBG.
FINAL GAS :MT'
FIN PLIANCE
DATE INS OR MISC.
MISC
MISC
MISC
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GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
......................... 196......
To You are hereby authorized to connect t,he GAS service for
Owner or Tenant Toe 1 .V..............ULiCll.... ............. ......I........ .......
At ....... . ........ ... .
.. ............... ............................
.4-A iv ..
New Service ....:X:...........
No. of Meters ........).. ........ . Reconnect .................. ..........
Move Service .........-...........
No. of Add. Meters ............... move er ........................
........... ....................
PLUMBING INSPECTOR
1085.1 Rae St,rent,
N Q IJO. STREET LOT NO.
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APPLICATION
FOR ELECTRICAL PERMIT
3
''? CITY OF CUPERTINO
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LL W ar! _ Aug. 1�. 69 Permit No.
oa f Fee �7"
a N Application is hereby made to the City of Cupertino for a permit to install electrical
W n l�1'1{J g �/o ���' �sll on the reverse side hereof, and agrees to install said
0 0 wiring, and/or i't'xtore"s'in accordanre with the provisions of the Electrical Code of the
m City of. Cupertino, and all other laws applicable thereto.
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3 a Owner Joe Address
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By Haves Electric Address Bo ertino
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Q O CONTRACTOR, AGENT
Approve
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4 State License #123086
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o C OF CUPERTINO
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o a DatE$ ZO Permit No f`� 1' Z'j
Fee $nwA e the City of Cupertino for a permit to install plumbing
apipes andor sA�to r verse side hereof, and agrees to install said prices
and/or fixtures in accordance wrth e provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws ap licable thereto.
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Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. /—
3 /J'p File
Date 19670 .
Application is hereby made for a permit to
a'- story, Type
to he occupied only as
in accordance with Plot Plan, P and Specification filed herewith.
Estimated Value of Improvements $
FEE$ t.� Plan Check $
Owner Address
IV
Co, Address
Phone �� �.�e'�'3�. State License
Approved �—
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cont'. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
PhoneState License
e ^ Approved
Applicants agree not to violate any of the i
Workman's Compensation Laws of the
State of California
i
1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR C.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADIN PI AL_
AL BLDG.-
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
L
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH .
ROUGH COMPLETE
MAIN DRAIN
F4 LBG.
FINAL GAS 3 20 70
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/0 I R g— t}�OY N P LOT NO.
O. STREP.I'
N APSW{�A�IQ FOR PLUMBING PERMIT
a IT 'r P CUPfiRTINO
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3 a Date (MAR 1. 9 1970 r. Permit No J j �'Z3
U Pee $
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° Applif3t�61t is ceby � {At��fyYi6T� of Cupertino for a permit to install plumbing
0 r pipes an21%or'Gxt�i•s IilhC"r'c4Cfse side hereof, and agrees to install said prices
I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
wCupertino, and all other laws applicable thereto.
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Use of remises
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3 Owner Address
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J ° CONTRACTOR, AGENT
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