FILE 51167.2No.
Street
Lot No./
//W
APPLICATION FOR BUILDING PERMIT
CITY OF CUPtRTINO
File No. S;�//` 7 L
Sanitary No.
Date � � 196 � - \._
to be occupied only as
in
is hereby made for a permit to
Estimated Value of Improvements
FEE$ �. ,ti7
Owner t�
Contr.
a --,, � story, Type S Z J
Plan, Plans and Specification filed herewith.
s J-4, D O O d=
Plan Check $
Address'
Address
Phone sZ State License / ls'1 791
Aj s
Approved t/l"7L.w../v+.RSC.//
At
APPLICATION FOR ELECTRICAL PERMIT
60
Date 196FEE$ 2
�ldk-'�Addross a'�
Contr. ro
/`
Phone State License
�� .2 2_
Approved WILLIAM D.
EIENEVIC41
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 - -%y GAS FEE $
PLUMBING FEE $ 2 3- -A--0
Contr. Address — la 3 �e- >V /e`�•�
%
Phone — �-'�J ��-3 Z 1 State License k`s 7
_ VtIIL.L.u9N1 L.
1 1�-INEVICH
Approved
APPLICATION FOR APPLIANCE PERMIT
Z J�
Date 196 FEE$
C ontr.Address %•� `� `f /
Phone -- .3 7�?_' O y .3 State LicenseZ—
Approved WILLIA^d D. C�M17^/9rNt
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
L
FINAL _ _" l •'"�
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
JJNDER(' OUND
FINISH V(
FIXTURES
MOTORS-
FINAL
OTORS_FINAL _
DATE
ePLUKIBING & GAS
INSPECTOR
INSPECTOR
INSPECTOR
BUILDING
�-c
S— 3 —6 �'
?RGROUND
p
3,6
FOUNDATION
p _
DATE
DATE
'IAL ROUGH
UNDERFLOOR
d
r - C
DATE
FRAME//
F tv
/
6
L
FINAL _ _" l •'"�
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
JJNDER(' OUND
FINISH V(
FIXTURES
MOTORS-
FINAL
OTORS_FINAL _
DATE
ePLUKIBING & GAS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTED
MISC
MISC
DATE INSPECTOR
APPLIANCE
DATE I INSPECTOR
DATE I INSPECTOR
s
?RGROUND
DATE
PECTOR
'IAL ROUGH
DATE
PECTOR
IH COMPLETE
/
6
s
p/AT
INSPECTOR
DRAIN
-`
PIPING
� .
pA'�g
oy /OI
�OR
DATE
INSPECTOR
L
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
MISC
MISC
DATE INSPECTOR
APPLIANCE
DATE I INSPECTOR
DATE I INSPECTOR
s
ROUTE--SLIP-
File No.
J \ Date c' 3
Location / a
Subject
Notes
Approved
Date "Ins or
,(:!FICE COPY
ELECTRIC SERVICE NOTICE
L V BUILDING INSPECTOR'S OFFICE
CITY OP CUPERTINO {�//yYy,
......_....._..... _....:!L.....I"C.�.........., 196.8
To
You are hereby Ruth r ze f nne lectrical service for
r
Owner or Tenant ........... '..1, ..... ...............................................
At......�.�......g ..'....' .. .............._....................
No. of Wires ....4........... Size of Wires ... '..y% Size of Switch ......U,)-04—
Motor
,)-04—
MotorLoad .......................... Voltage ... ---------- ................. .. Phase ...:_......._......_..........
eatingLoad ........................ K.W........ _..._.._................ Voltage _._....__.... �_...........
.,
Light..... IIU._...-,/New Service .........�nrct...._...._......
No. of Meters.................. � .,
Heat................. 2_0........--- TIveF'Wire ......... ...... a Service..........
i J
No. of Add. Meters............ ^
hr hase.......
ov.e.Meter ....... .............T: V. ..........
ELECTRICAL INSPECTOR
L GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO 0
OFFICT;
copy,
19
m ..
To
You are hereby autho i d to Corin c the GAS service for
Owner or Tenant ... --- . ........
.............. ...
At .... -QQ L-9-1-9 ........
New Service
No. of Meters ........._.1.:...:... Reconnect .... .......
Move Service
No. of Add. Meters .... —.... ve eter ......
P BIN C R'.
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F�J�Sewq Connection
Plumbing Final
Owner or Tenant ...... LAI., ...........
At........ ------
Tract-------------------------------
Date Connected ............................. -7.--.n ---
Date Final .................................---.10,......
..... .............................-.10, .....
11l 7/63 -IM
Sanitary Permit No........
Plumbing Permit No.
111da. Dept
Offic, Copy
Lot No. ---------- L.O.- ............
19--(_0
19-..W
CERTIFICATE; OF COMPLETION
BUILDING. INSPECTOR'S OFFICE
C+ CITY OF CUPERTINO _
_Date ......... `:'}.......... ...:.._,1 � ... "�BuildingPermitNo.r...l�
The Building
Owned by ................ ...
(f~(C� tS�_ For Use As:
Has Bedn_�_(AIEe"red)
102 7/63-500
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