NO PERMIT NUMBER (2)1DZ7j I L G+�. .w _ Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date b 196
Application is hereby made for a permit to
to be occupied only as
FEE$
Sanitary No.
File No.
story, Type
in accordance with Plot Plan, Plans and Specification filed herewith
Estimated Value of Improvements
s~
r-
owner !X-6
Contr.%Phone at �I
E
Plan Cheek $
Address
Address 7104PJ �. ^'� *V
State License / .i..3/ O s(/A
Approved
APPLICATION FOR ELECTRICAL PERMIT
DateJ 196 / FEE$
Contr. 1 L Address / 7 S/ Z//�/.r.�-�iz_I
Phone ,2-<(- 7 S i 9 State License C/'la Z mea -2 / 6
Approved ✓ 1 ' -
r
Do to
Contr.
Phone
Do to
APPLICATION FOR PLUMBING & GAS PERMIT
196
GAS FEE $
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEE$
Contr. Address
1 Phone State License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
PAD FINAL
FOUNDATION_
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
UNDER
ROUGH
FINISH
FIXTU
MOTOR
FINAL
RECOWD'OF INSPECTION APPROVALS,
BUILDING
INSPECTOR
ELECTRICAL
DATE INSPECTOR MISC.
GROUND ROUGH -
WIRING
WIRING
ED WIRING
RES
S
1z�sZ ,s— Z9 G
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO,
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE
MI
CITY OF GUPERTINO
10300 Torre Ave.
CORK -CTION NOTICE
Department
7 /
Job Located at/j--zV -----! t
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YBU M hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made cat m ector.
Date: �
252.4505 --- ' "'
City Telephone Inspector-.
CITY OF CUPERTINO
10300 Torre AVe.
CORRECTION NOTICE
/7
Department -
Job Located at
-------------
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..........
t--:17 ----------------------------------------------- --
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made the i Spector.
252-4505 Date
City Telephone Inspector:
CITY OF CUPERTINO
1'0300,Torre Ave.
CORRIT O,N NOTICE
------------------------Perlman} ------------------
Job Located at Zvz-r._------------------------------------------------
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call p� the inspector.
252.4505 - --..
Date: e `—
-
City Telephone Inspector: .---- E
I.
Q REIiT LOT NO.
0 kT �FOR ELECTRICAL PERMIT
0a
U f ail 8— 1969 [TY OF CUYLRTINO
W LL
4 w Date AG
k. I♦aT4 � 79' �� Permit No. `S _
°<
CITY OF CUPLK
V)
Application is hereby made to the City of Cupertino fora permit to install electrical
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
'> City of Cupertino, and all other laws applicable thereto.
2 J ITen nr t 'TG1 wn11 V \4 !�'ClC]Pw1f �E
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—U
Owner
By
CONTRACTOR, AGENT
Phone:
v
State License Gt� P..40 2 I R
Address 91,4'rZ 61� t\qa
Address 74 3 �Sa.`.++.+CctL�K+a C'
Approved AL 1N c
6 �vY�
ececrxlurH e
■
a
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rq
/4 ', R , i O5 7—p.,5 V l \ LOT NO. _
iIa7Q��o� f� s
1 N FOR APPLIANCE PERMIT
JUL CITY OF CUPERTINO
_ 0
Y
05
all 1re � 196 Permit No. J � �•�
i
W Fee $
s 0 pplication is hereby n-mde to the City -of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
F F Code of the City of CINertino, and all other laws applicable thereto.
S Use of Premises
00
„
Owner'L-7 <
Addres�JiS3 - (.$�%� U�a<
:_j A 74csi
rjr_'v� r-�, tzEl_ yr
o By 1 Hyl Address �
3 0 CON�AGENT I
m Phone
„a o tate License �f �-3 (y Approved��
_ U PLUMBING INSPECTOR//64 j
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