NO PERMIT NUMBER Lot No. Jr-
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
_ .. �
Sanitary No. � -7
Do to 6 196 9
Application
is
hereby made for a permit to
a ,story, Type .f- 27 T
to be occupied only as
in accordance th Plot Plan, Plans and Specification filed herewith.
1
fEys�timated Velue of Improvements $
40.2 W" Dto
FEE$ Q 'r• `S� Plan Check $
Owner __ . G �t.. _s� Address _a2").
Contr. Address
Phone a !f-:Z—//z I!) State License/
Approved 4 -
APPLICATION FOR ELECTRICAL PERMIT
s--ate ^ p 6a
Data 196 FEE$
Contr. '' -- "— Address
Phone 2'36 5-7//11 State License
Approved WILLIAM D. BENEVIL^u
APPLICATION FOR PLUMBING & GAS PERMIT
y
Date `r 196 - 0' GAS FEE $ �
PLUMBING FEE $
Contr. Address a ✓U
Phone —CR `6d _a3 �,k 2 State License
WILLIANI D. CN2 EVICIJ
Approved
APPL�ATION FOR APPLIANCE PERMIT
Data 3 196 FEE$ ,!/ •2�J)-3
Cont,. _ zf-,yT p Address 136
Phone 3?�1/— �/ 3 y State LicenseWILLIAM D. SENEVICH
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the ,
State of California
RECORD OF INSPECTION APPROVALS
r !S GY Bill DING
y- 30
FOUNDATION - 20-6
r DATE ECTOR
UNDERFLOOR
DATE INSP R
FRAME v
6 DATE NSP
LAT PLASTER - / -o
/ DATE C, R
FINAL 6 ^�
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
GATE INSPECTOR
UNDERGROUND
ATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING �'! �/O
DATE INSPECTOR
FIXTURES
_ DATE INSPECTOR
MOTORS
INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING 8& GAS
�7 5
UNDERGROUND
D El4e/lINNISS
TOR
PARTIAL ROUGH
DATEOR
ROUGH COMPLETE
TETOR
MAIN DRAIN
/ ATEOR
GAS PIPING 'SI/C(/
Ca/_ DATETOR
FINAL a
DATETOR
MISC
DATE INSPECTOR
MISC
DATEINSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
T
MISC
DATE INSPECTOR
MISC
D TE I SPEC TOR
MISC a! of
�- ABA INSPECTOR
ROUTE SLIP
Filo' No. s%iL 7. v
Date 6 _
Location � 'S
Subject -�
Notes
Approve d6l-/9-gl
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
{{ `` CITY OF CUPERTINO
kDate ..... ..`.../6........................ Building Permit No. .✓.t.�.!�?.7
The BuildingLocated at ..: ..._....t�.< ........... '....r...... -.... t.. ... ...........
Ownedby .... a ........... 4 .�,.......�........................ ....... ..... S
Has Been (Cu e )) For Use As: .........:--..._{•. � LL':r:_.
..................................................................................................................................................
..................................................................................................................................................
r- ..................f...........................
P-,
-.._......�I-...J.�.
BUILDING INSPECTOR
102 12/66-1M
O E COPY
cop,
4� ELECTRIC SERVICE NOTICE
' BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....................... ...... ............................ I
TO
You are hereby a It ed conn electrical service for
------ -----
Owner
...o..r tenant . . . ..... . ...... . -------.-
.................................................. .....
. .�.......... ... ..
No. of Wires ... ..........a.... Size of Wirep... .... Size of Switch 1.13OWD......
.Motor Load .......................... Voltage ................................ Phase .......................... ........
Heating Load ........................ K. W. .,..:............................. Voltage............:.........I...........
ih I 10�<-. New Sery e.... ......... Recomect...........
e. ........
of Meters...... Ligh'
220..�.�/J ini. ........... Move Serviee...........
No.of Add.Mete" I . . I I , e
Power.............. e.:... ........ Move met .............
................................ .....................;...... ... ... .........
C
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFRCE
COPY
BUILDING INSPECTOR'S OFFICE
Li CITY OF CUPERTINO
...................GL ................................. 196.
You are hereby auntthh/y/sized to connect the GAS ,service for
Owner`ofr Tenant .....oe- . .;..... .k:7 ......................................................
At -/aem.-.. ., a,............................................................
// New Service .�...........
No. of Meters ....,/. ............ Reconnect .............................
Move Service .......................
No. of Add: Meters .............. Move Meter ..........:.......
,;....
........... . :.. . . ..
y
UIPL MBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. .........
Ej-'Pilumbing Final Plumbing Permit No.
Lot No. .......... ..
.......... ...
Owner or enant ..... . . .. .... ....azwf.,.........................................................
.cr
At .... mm....—... . . . .... ....
..........................................................
Tract ...........' ..... ....... . ..... ............. . .........................— ....................... ........
DateConnected ........................... .1 .. ..........................................................
DateFinal ............................... ... ...............................................................
-----------(• ...................
PLUMBING INSPECTOR
111 12/66-1M
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