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NO PERMIT NUMBER /03 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File Ndt RC1 7 �� / Sanitary No.v Data 196 L Application is hereby made for a permit to a story, Type to be occupied only ns in accord e i h la PI Plan a .�ci fication filed herewith. Estimated Value of Improvements FEE$ Plan Check $ Owner C...�� -� - Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT L Date ! Y�v196 7 FEE$ 7 Contr, 1A24"" e 1Address Phone State License Z L 77.� Approved - F -r-���_ APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ G v Conte. / 1J LLi C�.1/ Address 02-T/ � Nd_ Phone e V 7 -7,P 1? 50 State License /*,J-/�z ,e Approved &�/4Z _e- Applicants agree not to violate any of the !� Workman's Compensation Laws of the State, of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION Date Inspector UNDERFLOOR Date Inspector FRAME Date Inspector LATH & PLASTER Date Inspector FINAL Date Ins/ ector ELECTRICAL ,OUTLETS ERVICE SIZ SWITCHES UNDERGROUND /O, VO, ! Inspector RECEPTACLES ROUGH WIRING e� �O Data Inspector FIXTURES FINISH WIRING Date Inspector H.P. CHARGA FIXTURES , Date Inspector PERMIT M ors Date Inspector TOTAL FE INAL Date Inspector 1- U MG & GAS MAIN DRAIN -SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE IATERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Date Inspector STORM DRAIN FEE MAIN DRAIN Data Inspector WATER SYSTEM FEE GAS PIPING Date Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC ' Data Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Data Inspector III OFFICE COPY ELECTRIC SERVICE NOTICE ' BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO .._ .................. ............... .�.r..�.��-...: 196/ To ... You are hereby n ed to conn I 'cal service for Owner or Tenant .... c':.�-ai.>a_.R....... _.......... At ...... .0 :'.4%.......S...:...C No. of Wires ------------------------ Size of Wires ...................... Size of tch jMotor Load ...................... Voltage ................................ Phase �- r Heating Load ........................ K. W. ................................... Voltage ........ Light.......__... 110............ New Service................ Reconnect.................. 'No. of Meters..... ............ No.of Add. Meter Heat................. 220............ m ....... ... Move Service............ Power............... has .. . ...... Move M ter.............. ��� �- ...... .. .... . ....�/.......... ..............I " t............. ...... � HLEC'I'RICAC INSPE OR t /0 .3.�� I /v"'. /�'v /" " e(y le W Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No.,!�-wd 7 7 Sanitary No. Dote � � 3 196 Application is hereby made for a permit to a story, Type to be occupied only as in accordance with plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ FEES n/ Plan Check $ Owner Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMITP Data �3 1g FEES �" `t Conti, Address Phone 12 State License / ( "7f"""--'/, - S-o Approved 1`011 t r--N F%/ICH AP LICATION Ir PLUMBING 8 GAS PERMIT Date Lj 196 d GAS FEE $ �v^ PLUMBING FEE $ - SZ Contr. __ �/ —-2-6 Address G d^-n. O v Phone —37 t�' 7�.t'C State License - 2-rl9 7 V,OK , Approved WILLIAM D. QENEVICH Do to y 1 j 1 APPLICATION FOR APPLIANCE PERMIT J� ,,QQ AA , ,, n FEES z' Conti, /� aJy-e,..� Address ca-/ Phone State License wILLIP-:A D. DENEYICH Applicants agree not to violate any of the. Approved Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION DATE INSPECTOR UNDERFLOOR DATE INSPECTOR FRAME DATE INSPECTOR DATE INSPECTOR FI s ' OATE INSPECTOR ELECTRICAL ELECT. SERVICE "t— DATE INSPECTOR UNDERGROUNB 1 DAT INSPECTOR RO I -� DATE INSPECTOR FI WIRING DATEINSPECTOR FIXTURES DATE INSPECTOR MOTORS -D I V AT INSPECTOR FINAL DATEN INSPECTOR PLUMBING & GAS UNDERGROUND PATE PECTOft PARTIAL ROUGH OAT ® S ROUGH C MPLE A E , INSPECTOR MAR DR 0 INSPECTOR GAS (PING DATE INSPECTOR FINAL DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR MISC DATE ,� INSPECTOR