NO PERMIT NUMBER (2)Lot No/ 0,4.!,
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Dote .4 n1 196
tion is hereby made for a permit to
to be occupied only as
a_ , story, Type - %E = I:E_
in accordance eA
Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES m
Owner
dr
Contr.
Plan Check $ '
Address ORGA Elf' 44
Address,
Phone 01,4
e0 State License r/:z!f
01,(^a 02 `xj Approved
r
APPLICATION FOR ELECTRICAL PERMIT
S �3
a7 0� S'
Date 196
FEES •
Contr. �-K-�>-'�-+�-�
Q
Address
Phone f7 j-6 1�'7�e�-/
State License
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
�
/ Z?
Date � 196 Ir
GAS FEES `� �
3
PLUMBING FEE $ J�
Cant;.
Address /2`314 ; %
Phone `r�`� 02 'j 3�
State License
Approved '•+.a! D. D),: ,'..;:'i%e!il
APP -ATION FOR
Y
APPLIANCE PERMIT
/'I-
Date 1%
FEES
Contr.
�J
Address �Z—
Phone7L-dy.3�
State License ��a'f0 �Z-
Approved 1°tl S.' 7G�R ^�wraryna.Y
-Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROMS
P BUILDING
FOUNDATION
— --V' I?
I ECTOF
DATE
UNDERFLOOR—
/6)—
INSPECTOR
INS �C OR
DATE
FRAME — —
@& PLASTER,/
CL A:T H
DATE
OF
IN SPEC O
D TE
FINAL r
IN SPE OR
DATE
INSPECTOR
ELECT.
UNDERG
ROUGH N
FINISH W
FIXTURE
MOTORS
FINAL _
ELECTRICAL
iERVICE
ROUND
SPECTOR
DATE
INSPECTOR
'IRING
_-2A(rEV
DATE
""�+/�
R
IRING
'
CA
66
IN SPE OR
J
INSPECTOR
D T
INS�E C�'
DATE
INSPECTOR
PIPING
A
INSPE
DATE
P UMBING. GAS
INSPECTOR
ERGROUND
M
SPECTOR
rIAL ROUGH
DATE
""�+/�
INSPECTOR
INSPECTOR
;H COMPLETE
DATE
INSPECTOR
DRAIN
TE
INSPECTOR
PIPING
L
'ATE
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE
DATE
MISC
o
MISC G
DATE
INSPECTOR
NSPECTOR
NSPECTOR
ROUTE SLI
File No. S // F
Date
Location�� / v
Subject_s—Y �--�
Notes
Approved -13-Gcg' — � ti
Date ` ' Iri6pec,t'or
• i
-- _ I
- - __
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f
CERTIFICATE. OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date -------- Y..... .`...1 :............ 19.6. .. Building Permit No.�%�...Y.1.9...
The Building Located at .../.Q...X.......<...........: .................� L................._.
6 w.,.o..
Owned by LY l! ..... ...1✓t.hof ✓....... :...............�......_......('t4.L !.......��.9 .
Has Been (Completed J For Use As:........ �D' �!........................................
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
9 CITY OF CUPERTZ 0
.......................!/.... ....... ..................... I 196.f
To
You are hereby authorized to connect the GAS service for
Owner or Ten nt
. .....................................................
....................... ..... ....... ... ...
At... ... . . ..
......... .......................
New Service . . .............
No. of Meters .....l............. Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter .......................
PLUMBING �T..',
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY Or CUPERTINO
❑ Sewer Connection Sanitary Permit No. .......
��Iumbmg .
nal Plumbing Permit No.
1-2
Lot No.
"'/ 4:2? ...........
Owner or Tenant ...........
At ... XA � �-(; � T -
t . . ..... . ....................................................
Tract ............
............................................
Date Connected ....................... ...
.. .................. ................... I ................. -.- 19.
DateFinal ....................................NO.................. ....................
PLUMBING INSPECTOR
111 12166 -IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO y
.............U.... f..................... ..............., 1969...
To
You are hereby authorized t,czpeelectrical service for
Owneror Tenant ... .................(.....................................
At...I..Y...6...........................................-e .....................u.a
No. of Wires ..... ............. Size of Wires ..........._�.. Size of Switch ....................
Motor Load .......................... Voltage ................................ Phase .......
HeatingLoad ........................ K. W . .................................. Voltage ................... -.......... ..
Light... ... t 10............ New Service.v� Reconnect ..................
No. of Meters .... ....I.........
No. of Add. Meters............
Heat........,. 220............ Three Wire.. .............. Move Service............
1Power............... T4trm Phase......... .... Move Meter..............
..................................................................................
ELECTRICAL INSPECTOR
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