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NO PERMIT NUMBER (3) I zOlee. a I ' t ifs s Lot NoOeo je No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO p File No. 4s-"` j w Sanitary No. res? Dote 196 / plication is hereby made for a permit to �} a story, Type i to he occupied only as in accordatlwith Plot Plan, plans and Specification filed herewith.. Estimated Value of Improvements S 0 I to r FEES /��;146ww4__ -- Plan Check $ Owner A-M(A�rLs,s [! / Address Mills,Z 1 _09f& ^s► e Contr. Address Phone, �� State License �JJ\\s Approved s Aam ll d� APPLICATION FOR ELECTRICAL PERMIT Date2 196 r�' FEES 1) � ' 5 Contr. �K./ � .J Address 22 Phone 7 's - `S �e State License L L. WILLIAM D. EIENEVICH Approved ryAPPLICATION FOR PLUMBING & GAS PERMIT Dot. -- 2d 196 '� GAS FEE $ / ^ PLUMBING FEE $ J Contr: Address 1-2 J K !L /6-� Phone 02 �f ,l1- 132.3 State License Approved WILLIANI D. CCPIZ-VICF1 APPALJ.0 TION FOR APPLIANCE PERMIT > � Date / 196 a FEES Contr. / Address Phone �y 7 J 9 3 State License 44.2- G V , Approved WILLIADA D. 6ENEVICH Applicants agree not to violate any of the Workman's Compensation Laws ofthe State of California 1 • � • Jia �. . RECORD OF INSPECTION`` APPROVALS FOUNDATION ^OBUILDING 3 / Ins c UNDERFLOOR � N Date y Inspector FRAME Date Ins pec ATH & PLASTER �tl—h �b FINAL — ` ctor Data Ina De c ter ELECTRICAL OUTLETS SERVICE SIZ SWITCHES UNDERGROUND Dota npc Inspector RECEPTACLES ROUGH WIRING I ate' / Inspector FIXTURES FINISH WIRING �O to Inspector N.P. CHARGE FI%TURES Date Inspector• PERMIT FEE Motors ate Inspector TOTAL FEES FINAL Data Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL -T-23-6f WATER SYSTEM SIZE ITE'RIAL TOTAL FIXTURES UNDERGROUND p FIXTURE FEE PARTIAL ROUGH J Data/ or MAIN DRAIN FEE ROUGH COMPLET – 'G to tar STORM DRAIN FEE MAIN DRAIN v� DID r WATER SYSTEM FEE GAS PIPING Date or GAS PIPING FEE - FINAL .� Date Inspector PERMIT FEE MISC Date ns peat., TOTAL FEE � MISC Date Ins pe c tar 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 FEE1 INSPECTED Date Inspector 1LVV 11i 'JL11 File No. Date / — ,77 Location / U / 10 y(o ( erwcM Subject o NotesO,* Approved 7-d�;If Date Ins or CERTIFICATE .""OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OttF��yyCUPERTINO QQ-9 Date .../.........1.3..............._.. 19..66 Building Permit No.S11�.4.7).. Located The Buildint.'' ....-.. .�! -!.:t)_ �_ : ....:........... Owned by .... 4 ^�.. .'............ - .... �......'..- - Building (Completed) $ i\ Has Bean (-Altecad) For Use As: ...... LJ �'"'....----_.............................---- -'...............................................................................—.....................:...................................... ..................'-.---........-'------..............................---......................................................................... 1 '--............................ BUILDING INSPECTOR 102 12/66-1M Bldg. Dopt Viiice Ccl:y BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. .... 1........... r __ / /Plumbing Final 'Plumbing Permit No. w'S IL:... ... ...... �..✓ ... Lot No. ..AV................. Owneror Tenant ....;,..___.L.._iJ.........:..... ....................................................... �x r At ��. _�� ..... ,...:..�_ ........eft f ('.<- ... Tract ...............%?,.✓1� ';.. .r6.1�?- ............................................... i � Date Connected .......................... ��?n"....................................................... 19�..._.- DateFinal J'................................................................ 19. ............. `, ..................... PLUMBING INSPECTOR It t 7/63-1M GAS SERVICE NOTICE 01-TICS BUILDING INSPECTOR'S OFFICE COPY /o / CITY OF CUPERTINO . ..... ......-..... ...... 19 ...... ......... 69 0 You are hereby authorized to connect the GAS service for Owner or Tenant ......A ............... ...................— At New Service ... .............. No. of Meters '-/... Reconnect ........—.............. Move Service ........................ No. of Add, Meters ...... ....... Move Meter ..................... PLUMBING INSPECTOR ,�. i i i .. �.., .. i i i i i I .. _ . I i ELECTRIC SERVICE NOTICE ON j 01 BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO .. . ........ 19 ...................................... TO You are hereby t r to co nec, electrical service for Owner or Tenant .......ZW;0—t . ........ ... ....... .... ).......... ............ At ...................1...04-..6a.�................... ................... . No. of Wires ......;Z........... Size of Wires size 0 I.... .V. . switcim.d..: MotorLoad .......................... Voltage ................................ Phase ............................... HeatingLoad ........................ K. W. .................................. Voltage ................................ No. of Meters....... /New Reconnect............. Lig 220... Thm /"i j......... Move Service............ No.of Add. (Heat ............... T hue e ......... ... OLE CAL INS i. ,.. 3u 27 4 1pi 0 re Lot No. �Off ryp� i A ETpICATION FOR BUILDING PERMITCe4-,- A U U 1[� 96 r City of Cupertino Sanitary No. ^F Date , 196 Peit No. //f 7 d y�� ,,p�j��tp�/� �f? 0 0 �RY 'c�' (�'TI'iUUpermit to7-r.�,t.T-rY 3 a iC1 -v story,Type Building m r w o to be occupied only as _ r. p < in accordance with o °' Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee T Estimated Value of Improvements,S 6,2.� /10 Fee$ c 0 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and > all other laws applicable to the construction, location, and use of buildings within the City of F A Cupertino will be complied with. c � r 3 ° 0wnerN(,j,rJ_ q,.r�� Address d a By_ /��.r-lo.��� Address .�T�,<-/�•s' �,��.1.✓t.., E Phone �_S J - `Jl Approved WILLIAM D. -:NE .�L State License Building Inspector