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NO PERMIT NUMBER Lot No. �Q No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Sanitary No.-- S—A 9/ Date " G 196 7� A plication is hereby made for a permit to T a story, Type '"� 2 to be occupied only as in accordantith Plot Plan, Plans and Specification filed herewith„ 401 ��jj • Estimated Valae of Improvements $ 2( () D a d FE E$ j) oj� s�n Plan Check OwnAddress Contr. Address Phone 01 5' 7-71/ 1.1 State License Approved et APPLICATION FOR ELECTRICAL PERMIT Date /Z 196 '7 3, ,r2 pp ' / FEE$ aQ � Contr. 4j� Address -) S- Phone 7 36 c.T SQL/ State License /-2 Approved APPLICATION FOR PLUMBING & GAS PERMIT �> Date 19617 GAS FEE $ PLUMBING FEE $ 2 3• S-s' C ontr. G--ZrJ Address 3 u 1) PhoneStateLicenseLicense Approved APPLICATION FOR APPLIANCE PERMIT Dote / 196 k FEES /a- Conte ' �-/t_•i� �7v fL.�Q Address /S� —s- v Phone 3 ;71-0 9'2 31' State License �Q�12y(�� L Approved LId ah_ Applicants agree not to violate any of the / Workman's Compensation /,avis of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION r-67 BUILDING Da / p� - ns pact UNDERFLOOR -- bC Dot ns pactor FRAME 'Lr ATH.6 PLASTER to ns cfor FINAL t ,_Ba _ Ins oe c for ELECTRICAL ,OUTLETS SERVICE SIZ SWITCHES UNDERGROUND Da fe Inspector RECEPTACLES ROUGH WIRING Dale Inspector FIXTURES FINISH WIRING v rV e o Dp H.P. CHARGE FIXTURES 'Y f� ns pe cfor ^^'-- Inspector PERMIT FEE Motors -- -- vQDpV Iins pactor TOTAL FEES FINAL %m �® Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH/— `tf spector MAIN DRAIN FEE ROUGH COMPLE atA clot STORM DRAIN FEE MAIN DRAIN r WATER SYSTEM FEE GAS PIPING ry Dote or GAS PIPING FEE FINAL — �✓ Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC Date 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 . D to Inspector CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ...._L1 -- z .................................. 1941... Building Permit No:"r`f-M--- The Building Located at Ownedby ---- .1-------- ............................................... -----79.) Has Been ((ompleted) For Use As: to .............. - ------------------------------- ............ ........................---- -- --- ............ .... .... .......... . . .. ................ . . .... - ------------------------------------------------------------- ..........1-7---------r------------------------------------------------- - r------------------------------------------------- -------------- --------- ---------------------------------------- ---------- ------------W-�I------ ...... d --------*---------- '51� -------------(—---------------------------------------------------- BUILDING INSPECTOR 102 12166-11vf OFFICE COPY ELECTRIC SERVICE NOTICE CS-A BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ......_..__...._CF..•._ .._.........., 19G .. To You are hereby a th iz d ` conn t electrical service for Ilf Owner or Tenant ..._.. �. At ........... *'+•-8'W.t,7LA3G...,._....._ ._...... No. of Wires ..._ ....._..... Size of Wires :g.-. ..._... Size of Switch .1.Qt�A... I Motor Load .......................... Voltage .. ........_ .........._...... Phase _........._....... __....... _. Heating Load -_---- ................ K. W. __._---....._..._....__. Voltage No. of Meters-..... .... Light-.. �.._. IIU_ New Service....,e�..... Reconnect......... ...}..... .-- ` � pjdMeters. . ._...220 . W' eMoveS_ur ---- . Po er...._......._. Move Meter.............. ................ • F.LECTWCAL "SPECTOX GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTI �T 0�' You are hereby authorized to connect the GAS service for Owner or Tenant ....-4%Z E77�1,0s.;. eloA- At IIIZ9�7f�,t V%11� New Service ................ No. of Meters ... Reconnect ................. Move Service .......... ............ No. of Add. Meters ...... Move Meter ........................ PLUMBING INSPECTOR Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection Sanitary Permit No. --,,:57� P--Plumb- Plumbing Permit NoZ-1147,1- naY -7 Lot No. P---------------------- Owner or Tenant At --- ---------- ------------------- -------------------------- Tract ---------- Date Connected -------- - -- ----------------------------------------------------------------------------- 19. Date Final ----- z --------- --------------- --7----------------------- ------------------------------------------------- ................... lj 111 12/66-IM PLU BING INSPECTOR OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE rU j � OF CUPERTINO -° -"!Sr.........., 196..9 , eeby a t ri e to mi e electrical service for Owner or Tenant . ..... ... . ... . . ... . ..............._......_......_..._ .... At ... t_� �� - �: _ s ..Cis' (.... No. of Wires Size of Wires ...- Size of Switch ...... Motor Load ------------_.----------- Voltage ....._......... ...... Phase ......_. ...... Heating Load K. W. ...... ................ ..._.._. Voltage ...._..._..._........ ....... Light..._...._..... I iU._......... New Service.... .. ....... Reconnect...... __ ...... No. of Meters........�......... Heat.._..._........ 220.... Three Wi .. ... ..._... Move Service.._.....- No.of Add. Meters............ Power....... r hase.. ........... Move M ter...._....... ELECTRICAL INSPEC ;ROUTE SLIP File No. :4 7 / f;. Date Out v Yom_ Date In Location Subject ` Notes Approved ( ��- D to Inspector