NO PERMIT NUMBER Lot No. 17
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �y
File No. S�II/
Sanitary No.
Do to y 196
Application is hereby made for a permit to
a story, Type $� i 17
to be occupied only as
in accordar' with plot plan, plans and Specification filed herewith,
Estimated Value of Improvements $ wp�G0j V 40 0
FEES J104 •soot Plan Check E /� y 4 /�
Owrmroil",
I Address 0? � Vl.e+:s.
Contr. re Address PC.",
Phone Stare License II tt/-r '
/ 7 /
zj
Approved I _ /
1014
APPLICATION FOR ELECTRICAL PERMIT
Y
Dara 196 FEES ? d
Contr, Address
Phone _ o7—Cl r� 02- 7 d o Stora License 7 •; �1'
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dara 'ti� 196 S' GAS FEE $
c �
///-�
PLUMBING FEE $ — —2
Contr. P/&, Address _ZLbo — e5L t f
Phone '�7� �' LCTo State License — 2-3
Approved VJ1LL1Tj,1 D. C^P.r vrre_v
i APP CATION FOR APPLIANCE PERMIT
Data196� l FEES
Contr. 8 17Address l3� Sc,C
Phone `/70 y 3 State License
/ Approved WILLIAM D. BENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
4.
RECORD 6 INSPECTION APPROVALS
r�\/BUILDING
FOUNDATION -6 2 f
p� DA INS C OR
UNDERFLOOR —O
/D AIN SPE UT
ryTE
FRAME /`rb A
'( DAT IN SPEC
LATH PLASTER II//OO''
IN OR
FINAL
CTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
D T INSPECTOR
ROUGH WIRING
_ DAT INSPECTOR
FINISH WIRING I
O E INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
D T INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND .
DAT ECTOR
PARTIAL ROUGH
DA/TE ECTOR
ROUGH COMPLETE �- b
DATE SPECTOR
MAIN DRAIN 6
^e e/ATE
NSPECTOR
GAS PIPING � Y
_ ATE INSPECTOR
FINAL 5
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC VN
DATE INSPECTOR
MISC
CTOR
MISC
DATE INSPECTOR
l
CERTIFICATE OF COMPLETION
BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
Date ----1(7.....F......................... 190G---- Building Permit N0�7
------------------
The Building Located at --------12-V-.-- --,-C-- -- -
Ownedby ...... .......... . ----------------------------------------- .4--------
Has Been (Completed)
(AlteaedaFor Use As: .................
..................................................................................................................................................
... ..................................................................................... -----------------------------------------------------
------------------------------------------------------------------
---------------- ;��---------J4--------------------------
�&A'---a---Lv—)G
------------------:---------- ---*.. ................*---- -----------
BUILDING INSPECTOR
102 12/66-IM
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTfNpX
............... ...
.............. 19646.�
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ....
At
L ...... ......—............ ........ ......
New Service . ...........
No. of Meters ../............ Reconnect ......
Move Service .......................
No. of Add. Meters .............. Move Meter .....I.........
.......................
PLUMBING INSPECTOR
II OFFICE COPY
ELECTRIC SERVICE NOTICE
lq BUILDING INSPECTOR'S OFFICE
1 CITY OF CUPERTINO
r" �I
...... ........... .._.........., 196 ..
To
You are hereby author' d o nne el.ectrical service for
Owner or Tenant .............:. .
.-,. . ..._.. _
At ......._o2..L .z3.-.._ _.._... ..-....._.-. ._.._...
No. of Wires ...-- J.........._- Size of Wires . .. .. Size of Switch ._�.QszA
Motor Load Voltage ..............._.... Phase
Heating Load ........................ K. \/��. .......__...-------.. .......... Voltage .._......._ .............
Light_./........ I IU_ New S rvicr..._.. L
nnect........._......
No. of Meters......`....-.......
HeaL...._......_.. 220...._,_ Th Wir ..... ... Service-.._._...
No. of Add. Meters-
Power............... r h _ Meter......
.........._._. .. ..._.._--....._.._...-.... ..._...-
ELECTRICAL INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S 'OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- -----
[LjiPlurnbing Final Plumbing Permit No.&-111rP1
Lot
-------
No. ----
Owner or Tenant ----A:� / 0---- ----------------
---- --------------------------------------------------------
At ....<::>
—---------------------------------------------
Tract -----
Date Connected ----------------------
------------ ------------------------------
19 Date Final .............................. --------------------- - 194;e
1�0------ ---- --- ---*-----------------
----------- - -------------------*---------
,10'PLUMBING INSPECTOR
111 12/66-IM
ROUTE tiLIP -
File No.
Date. 0ut. 1z, 2,p-67
Date. In
Location
subject 1112
Notes C330.d
Approved 12-U-C7 c _
Date Inspector