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NO PERMIT NUMBER (2) sq 1Q J 0/ 1 '0/ 4zdow/ / ' Ak Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File N/AA301-� Dote 9 I� 196 Sanitary No. Application is hereby made for a permit to A '00, 004 UA 47y, Type to be occupied only as !� _ r in accordance with Plot Plan, Plans and Specification filed herewith„ Estimated Value of Improvements s r(a Qi OLL FEE$ — A /. o O Plan Check $ 00 d• r'a Owner i /ifz��A��ddress Contr. Addressor Phone ���� 7�0 t� State License of 570C I S L Approved � J'W' a 4 VOC APPLICATION FOR ELECTRICAL PERMIT Date 196 k Z FEES s' Contr, /`"""ti's—x.a Address /0,2 Phone 2 J 2 'sS L 1 y0/ 7 � State License �-y Approved APPLICATION FOR PLUMBING & GAS PERMIT Date /6 196 GAS FEE $ PLUMBING FEE S S� Cont,. Address G 6 /() Phone State License / Z/C. / O Approved WILLWA D. BcNEVICH APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. Address Phone State License Approved Applicants agree not to violate any of the ' Workman's Compensation Lows of the State of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION DATE INSPECTOR UNDERFLOOR DATE IN SP _T R FRAME _ .3 �6 DATE INSPECTOR LATH & PLASTER DATE�j INSP TOR FINAL - CY���1/ DATE INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND DATE 6. INSPECTOR ROUGH WIRING ( _ I I , DATE INSPECTOR FINISH WIRING _ DATE INSPECTOR FIXTURES DATE INSPECTOR MOTORS FINAL ,L -(9-jAp IN T DATE INSPECTOR PLUMBING & GAS UNDERGROUND DAT NS EC TOR PARTIAL ROUGH 'n- DATE INSPECTOR ROUGH COMPLETE DATE INSPECTOR MAIN DRAIN ` DATE �IN SP R GAS PIPING p Of DATE SPECT FINAL - / -� DATE INSPECTOR MISC GATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ....1.2-----......../.7........... 19(m.f/.. Building Permit - The Building Located at ... ?2 j......... '912 --------------------- ........................................ &?1A Owned by ---- Jp q. --�y /yam -- - ------ ----------------- ------------------------------------------------------ Has Been (Completed) A44coo For Use As: .... ....................... ................................................................................. ---------------------------------------------------------------- ----- - - .................................................................................................................................... -------------------------------------- ---------------------------------------- ------------ ------ ---------- .................... --------------------------------------------------- BUILDING INSPECTOR 102 12/66-IM GAS SERVICE NOTICE OFFICE BUILDING INSPECTOR'S OFFICE COPY CITY OF CUPERTINO To ........... ...............1 196,f.. You are hereby authorized to connect the GAS service for Owner or Tenant ...ov. 4 ................... ...... At ......kp...�.A ...............5 ....6... ... 4 . ... . .... )e6( .l......—,............................ New Service ....... No. of Meters ............. Reconnect ............................. Move Service .................... No. of Add. Meters .............. Move Meter ....... .......................I...........................-........... PLUMBING INSPECTOR 0,3 0 / a. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File N-A� a j Sanitary No. Data 196 ` Application is hereby made for a permit to ZLW�a storY,��Ypa to be occupied only as �u J in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements 'S 33 `I FEES J Plan Check $ Owr.er Address Contr. Address �3•Z 3 S' ne ,�CciJ Phone State License r Approved APPLICATION FOR ELECTRICAL PERMIT Date - 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Data 196 GAS FEE $ PLUMBING FEE $ Contr, Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Data 196 FEES Contr, Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS LL' BUILDING FOUNDATION DATE INSPECTOR UNDERFLOOR / ATE INSPE T R FRAME D � D`AT PECTOR ATH PLASTER _ DATE SP TOR FINAL _4 DATE INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND DATE INSPECTOR ROUGH WIRING DATE INSPECTOR FINISH WIRING DATE INSPECTOR FIXTURES DATEINSPECTOR MOTORS DATE INSPECTOR FINAL DATE INSPECTOR PLUMBING & GAS UNDERGROUND DATE INSPECTOR PARTIAL ROUGH DATE INSPECTOR ROUGH COMPLETE DATE INSPECTOR MAIN DRAIN DATE INSPECTOR GAS PIPING DATE INSPECTOR FINAL DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR MISCDATEINSPECTOR I 1030 / S Sar. 7�'ega _ S„�..r• i OT NO. NO. Z ? Wit' ww �1QA��TI FOR BUILDING PERMIT ° I OF CUPERTINO O < SEP 25 1968 D Sanitary No. Date • Sc'/v f Zc' 1962 Permit No. / nyl d k3 'o a ilyatiop hUAWMerrmit to A / //r �-- in 7 rr- .- a A- z N a O r/c- story,Type r!/rc/i e c ( �r�9 .Sui 7'' Building to be occupied only ase--,, S di ;0`r n accordance with 0 o plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee ��•� 1- ; Estimated Value of Improvements, $ 's 6 6 L c` Fee$�I• z J It is hereby agreed that the requirements of of thBuilding and Zoning Ordinances and J i all other laws applicable to the construction, location, and use of buildings within the City of o Cupertino will be complied with. Owner its /`(•ell �'�i a Address G 30/ S✓i> �� - k. W By •Qa b .. f n lar. Pt Address � S- /Y eDe/r _ o a0 Phone 379 - 73"8 Approve i/ State License 4s 68 2 Z NO INSPECTOR