NO PERMIT NUMBER (2) a03g11o1 '� � W Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO , 1
Sanitary No.RR y
File No. t��•
Do to " 196
Application is hereby made for a permit to
a story, Type
to he occupied only as
in accordance with plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements, $
FEES Plan Check $
Owner - Address
Contr. Address
i Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date " �(- 196 �a FEES 3S
Contr. L LQ Y1QOf`l\\\�, -6,
Address �• 4 ry —
Phone C, '(" (OQ 0. State License
Approved FII j.I*l qB. Eir•wrm ic"
APPLICATION FOR PLUMBING & GAS PERMIT TT
Dote 196 9 GAS FEE $ i 'Sv
PLUMBING FEE $ .� .�
Contr �ooJ �%
�Q1.�1-\`1`tl`�4 (1 Addres�Ioto T\ R\ \ 'I QT{ly�
Phone — ��O `��J State License �` q3
Approved jAn1 1 xam n BENEVICH
APPLICATION FOR APPLIANCE PERMIT
Dote 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
i
RECORD OF INSPEc+.TION APPROVALS
I�
BUILDING
DATE f� INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
—
0 _ � RI L
MISC.
UNDERGROUNDRO
OUG"R
FED Pt
FIXTURES
MOTORS
ur
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. ll
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
OFFICE COPY
ELECTRIC SEWICE NOTICE
J tJ BUILDING INSAZTOR'S OFFICE,
CITY 01: CUPERTINO
..............._._..... ........._ ..... .. . .;1:., 196
To
You are hereby au ized tnnect ec i I service for
Owneror Tenant ........... ..__._... .._.._.-...._..._..._............_........ . ..
At
No. of Wires .... .._..........._.- Size of Wires .. ................... Size of Switch fQd.
Motor Load .............. ........... Voltage ................... ........_.. Phase . . ...
HeatingLoad ........................ K. W. ._...._...........----...... Voltage
Light—........... ._._.. New Service .... Reconnect..._.........
....
No. of Meters.....................
. of Add. Mete (1l Heat...
2_0....._ ._—Thre Wire...... . ove Service........
ower.... Thr se.... ove Meter......,...
-_..
.
..
j�'j
F
INSPECTOR
�(� Irvl
qti Ya .c�S- Z9 I7W� CtE"ii LFL L�/�t.nT NO,
NO. STREET
z ` A A FOR BUILDING PERMIT
W Z
Tgo
y CUPER7INO �4
O Il
s U 7 Sanitary 10,
W I. Uate Permit No. 7. ,7
' o
4 Ap n re ade fora ermit to ue t
� � PrP�f
a m a story, e �GrQ L �LN rA IL Building
W
w to be occupied only as - in accordance with
a
0 o Plans, Specifications and Plot-Plan filed herewith. P1 Ck'Fee
of
� ": Estimated Value of Improvements, $cg,/� �d d _ Fee$ 0 J
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinanc S and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be c�.m lied with.
3 ;- CHRISMAN .
– N Owner Address
¢ a By y 1� A6T���f CAUFj R� — Address
07
Phone V� S-itg
–� Approved
1 State License � '?�C'_ BUILDING INSPECTOR J
I AGREE 1 WILL NOT VIOLATE ANY OF THE 'O'ORKMEN 5 j
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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