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51187 (3) �_ T d T I �/►.a.M-tib Lot Noie No. Street /6 G/ APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO G File No. SIIO J ���• Sanitary No. I, Dote 796 plication is hereby made for a permit to Tom^ a C;:,� story, Type to be occupied only as in accor ance 'h plot plan, Plans and Specification filed herewith, Estimated Value of Improvements f 313 9) 0 d` � FEES 20o 0-t //��rr�� T� Plan Check f �} �Q /�� Owner ( - Address' 9 S 1 v' /5► s/{.y� Contr. Q' Address a�l� Phone CO2 9/ State License /S 1 7 5,,, Approved / APPLICATION FOR ELECTRICAL PERMIT Date 'S G 196 eP FEES Contr. _1.�4�-�(�L!-� Address Phone a 6 State License /oz Approved APPLICATION FOR PLUMBING & GAS PERMIT Dore Y 796 L GAS FEEf PLUMBING FEE f X2-6. Contr. _-� '�'✓ el`�`""�i T)' Address _ /L3 Y >1. Phone Le"5�_ 2 3 2- 2 State License - /J L Jf7 5 Approved 1111a�ETpI'7^! �C ,` APPLICATION FOR APPLIANCE PERMIT Date ,/1% FEES Contr. /u'r�-c-cam �7...c���R Address 13 a J /✓_.,tC-.�.� � Phone '� 3 State License Approved WILLW4 Applicants agree not to violate any of the Workmen's Compensation Laws of the State of California RECORD OF INSPECTIO ARP OVALS )"4- S-�)-6-' � UILDING (?4_ F!_ z2�—/e / p FOUNDATION /' 2 �r- 4 _ D4TE INSPEC OR UNDERFLOOR `5 — 2-_6 ` DAT IN SP FRAME �� Ig - (D DATE NSPE LATH PLASTER E ��� `6 �� rDATE N OR FINAL k" DATE INSPECTOR ELECTRICAL ELECT. SERVICE / DATE INSPECTOR UNDERGROUND DATE INSPECTOR ROUGH WIRING DATE INSPECTOR FINISH WIRING INSPECTOR FIXTURES INSPECTOR MOTORS O INSPECTOR FINAL ' DATE INSPECTOR PLUMBING & GAS UNDERGROUND DATE SPECTOR PARTIAL ROUGH DAT SPECTOR ROUGH COMPLETE I DA 1 SPECTOR MAIN DRAIN nD/ATE INSPECTOR GAS PIPING / ^� r ATE INSPECTOR FINAL _/,_>/ DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC O _DATE - PECTOR - MISC DATE INSPECTOR ROUTE SLIP File No . Si /6' 7 Date YS� Location Z/CJ �C Subject /� LD Notes 4:2 �� —ZV9 Approved C,/— Date ns for f � CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ...........gam.. Cr Building Permit No. 7 /a ................ '� __. The Buildin Located at ... '....... ...,:. ..... tt� ��•, h c Owned by ....../.: ':."::s3'--- ...t'/.:!!.....'".'.__ •+'= .................................... ...................................... (Completed) V— (.'-`( (�i f� , HasBeen (Aiteredj- For Use As: ..........`-)................................................................. .................................................................................................................................................. ....-----.................._......................'-'---..................'-----"'----....................................................... ....................................................................................... f.y ..1'......k....w. ............................ .................................-- .................................... BUILDING INSPECTOR ' 102 12/66-1M Bldg. Dept. Office Copy. BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO F-1 Sewer Connection Sanitary Permit No. ........ 9--Viumbing Final Plumbing Permit No..15/—/OP-7...... Lot No. .....P6.......... . Owner or Tenant ... At Tract ----- Date Connected ......................... ... .. .. ........................................................... 19l ---- DateFinal .................................. .. 3..---.......... ...... 19. . ..................:........................ PLUMBING INSPECTOR 111 12/66-IM CE COPY ELECTRIC* SERVICE NOTICE BUILDING INSPECTOR'S OFF CE CITY OF CUPERTINO � r-r .............................................. ............... TO You are hereby auth ize ct e electrical service for Owner or T ..n..at ............... .... A t ... ........ .. ... ..... .... ... .......... ....... .t .. ..E!..... ........ . ... ....... .. ...................................... No. of Wires 11Z................. Size of, Wires .................... Size of Switch Motor Load .......................... Voltage' ................................ Phase .................................. HeatingLoad ........................ K. W. .................................. Voltage ................................ O..?!!�... New S114r. No. of Meters....... .......... Reconnect.................. No.of Meter,��:�::::�. Heat.. 220.; Three Power.............. ... GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ............................ 196.4.. ' To You are hereby authorized to conned the GAS service for Owner or Tenant ..... c.... `. ...... ...................:............................ At .�%/50.. -....... . . . .....New Service .......................... No. of Meters .../............. Reconnect ..........:.................. Move Service ....................... No, of Add. Meters .............. Move Meter ........................ PLUMBING INSPECTOR