51167.2 (2)c.
No. Street
Lot No. C�d
APPLICATION FOR BUILDING PERMIT '
CITY OF CUPERTINO �^
File No.
/ ry/�
�p �� Sanitary No.- A -A a
Date .[� 196
Application is hereby made for a permit to
a o
to be occupied only as '0C'- rQI
77
.story, Typa -77 r_ - -L J --
in accordance with Plot Plan, Plans and Specification filed herewith.
QEstimated*Value of Improvements
FEE$ L) o
Contr,
Phone
s
• J
Plan Check $
Address �a 9s�•
Address
State License
Approved
WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Data /• 196Sr" FEES A&
Cont,. IR,t./-���~� A� )Address
Phone ' .1pQfi40! 5:�z State License—
Approved
icense
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT_
Date 196 GAS FEE $ Ljs-e))
PLUMBING FEE $ a S'A
,12
Contr. Paiyzr hh `/ Address a
Phone oC �``�-a3�-3 Sta to License �-
Approved WILLIAM D. 13ENEVIc^u
APPLICATION FOR APPLIANCE PERMIT
Date7,�^/Q 1% FEES IA`'� •%
Contr. _ /tiC.c`/i' Address
Phone 137411- Cl? d >L State License
Approved WILLIAM D. EdEiVEViCH
Applicants agree not to violate any of the
Workman's Compensation Laws of ti.e
State of California _
RECORD OF INSPECTION APPROVALS'
BUILDING
FOUNDATION
DATEp INSPE TOR
UNDERFLOOR _ 3- o
DAT ,7� INSPE OR
FRAME ^I Z
ile
DATE CTOR
LATH PLASTER JE
FINAL -7 -o7 --Di T IN SP C OR
J `
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
UNDERGROUND_
ROUGH WIRING —
FINISH WIRING —
FIXTURES
MOTORS
FINAL
PLUMBING &.GAS
UND
PAR
ROU
MAIN
GAS
FINA
MISC
MISC
INSPECTOR
ERGROUND
TIAL
GH
ROUGH
DATE
INSPECTOR
COMPLETE
D T
INSPECTOR
DRAIN
D E
SPECTOR
PIPING
TE
NSPECTOR
L
ATE
SPECTOR
DATE
INSPECTOR
DATE
DATE
INSPECTOR
DATE INSPECTOR
APPLIANCE
INSPECTED '
DATE-
INSPECTOR
MISC
DATE
INSPECTOR
MISC
z
DATE
INSPECTOR
MISC
'INSPECTOR
_
DATE `
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFpp CUPERTINO
Date .... ._oi 7 ......-, 1q&,4..-. Building Permit
The Building Located at
102 12/66-1M
4ac
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To_.
You are hereby author' ed t -conne electrical service for
Owner or Tenant ...............
_....._._..._........._ .... ........ .
c .
No. of Wires ........ Size of Wires ....... -...YSize of Switch ..1. Q4,
Motor Load ......................... Voltage ....... .......... ............ _ Phase
Heating Load ..... ................ ... K.W...._...._...................... Voltage
Light.._.. IU..../New Servict__...... .. IteaonnecL._.......
No. of Meters ................... �-� ....
Heat.....___..... 220.._ree W're...l. ... _.. Move Service..........
No. of Add. Meters............
Power ............... hree e.... .. Move Metep..............
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OMC.
COPY
BUILDING INSPECTOR'S OPEICE
CITY OF CUPERTINO
1�J ...... _...._........., 196-0-
You are hereby a/utthh rized to connect the GAS service for
Owner or Tenant .... ...[
At
/ New Service .............
No. of Meters .1................... Reconnect
Move Service .............
No. of Add. Meters .............. Move
eMMjetter' ..........................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. a. .........
Ft__JiPlumbing Final Plumbing Permit No,;6_11e7,.._Z_
Lot No.
------ ------------------
Owner or Tenant -----
At
--
Tract -------------
Date Connected ................................?';L..!..
..
------------------------------------------------- 19.A!1 ---
Date Final !�19��.
-PLUMBING INSPECTOR
111 12/66-1M
W Q
wz
APPLICATION: FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanitary No.
Date �t'�7 - 196 Permit No
n
Pee $ 3LS
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Phone -RO •/ 7 9
State License 011 Lf3 O
Approved%
i
PLUMBING INSPECTOR
F9
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