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NO PERMIT NUMBER (2) Lot No:3r No. Street APPLICATIOWFOR BUILDING PERMIT J CITY OF CUPERTINO File No. ��7r Sanitary No. 'Date196 7 - Application is hereby made for a permit to y .... a _� star)', Type `7/ z L to be occupied only as in accordance with plot 4irlan, Plans and Specification filed herewith„ Estimated Value of Improvements $ FEES .7.3 P� Plan Check $ Ow .er _C/G/G/L-.C- Address C ontr. Address p Phone �.r3"'ted �d V State License �/ G Q Approved , t a APPLICATION FOR ELECTRICAL PERMIT Date d - 196 FEES 3.3 &S— Co. ' tr. •/`° o �-Pa-"p— J Address OC/7't�� 04� � - a 'PhonState License 6? . Approved APPLICATION FOR PLUMBING & GAS PERMIT �_ 196 7 GAS FEE 'Date ^ � � $ • PLUMBING FEE $ Contra egg Address 1 Lj Phone -37 State License L Approved APPLICATION FOR APPLIANCE PERAMT Date ^ 1^96 7 L FEE$ C�ontr. 14�6. ess77f _ Phon a - — /...0.'j +State License ���Z�� .. Approved Applicants agree not to violate any of the. Workman's Compensation Laws ofthe State of California - - - RECORD OF INSPECTION APPROVAL) FOUNDATION -;z Y- • BUILDING /O _Da t Ins pec UNDERFLOOR w Date Ins pact FRAME ate G I spe r LATH & PLASTER D ate Ins ect FINAL Date I ns oe c for ELECTRICAL .OUTLETS SERVICES E SWITCHES . UNDERGROUND , RECEPTACLES ROUGH WIRING ata Inspector f 7 D Inspector FIXTURES FINISH WIRING C+ _ y C000 I nspector H.P. CHARGE FIXTURES Z' Inspector PERMIT FEE Motors D fe Inspector TOTAL FEES FINAL v —�— Date Inspector PLUMBING & GAS rMAIN DRAIN SIZE MATERIAL I STORM DRAI�SIZE I MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH r7 By1g "Owspector MAIN DRAIN FEE ROUGH COMPLETE ate STORM DRAIN FEE MAIN DRAIN AO toEn WATER SYSTEM FEE GAS PIPING p" D to GAS PIPING FEE FINAL LZ�D o Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC Data 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 Data Ins pactor i` CERTIFICATE- -OF COMPLETION BUILDING INSPECTOR'S OFFICE - CITY,�OF 7''{C"UAP.E.x,tR.aCTCCIatNtBuilding Permit No, � y Date ....10q--- ........... 193 The Building Located at .. / - -- -- t , tt Owned b Wt�Lfn.� >tt�W' ....::.........:..`.... .......... t!!?':F.... ... 1. Has Been (Completed) For Use As: .:........ ,/J" f .. .................----------.................----------'-............._......_..............._--'---......--....................:.e...-- - ---------------......-................................------------------.---------------- ----------------------------------------:------------ ---. .... ---- ----- ..:... . ........ .... ......... BUILDING.''INSPECTOR 102 12/66-1M a bldg. Dept 0i6,e Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ewer Connection Sanitary Permit No. So.......a........... F-1 Plumbing Final Plumbing Permit ........... Lot ............................... Owner or Tenant .......... . .............................. .. ... ... ........ Tract ................. ................ ....................I ..... Date Connected .. ......... .................. .... .......... . . ..... .............. ...... ................ l(4:;.,.7 DateFinal ................ .......................... .... .......... ... ............ ................ . .. ......... ---- -- PLUMBING ^INSPECT Ill 7/634M GAS SERVICE NOTICE OFFICE BUILDING INSPECTOR'S OFFICE core CITY OF CUPERTINO � To 19(7 You are hereby authorized to tonne the GAS service for Owner or Tenant4Y _ . .....@. ..,....._........:.._.. .. 1 I At ....�* ... ..... ..... New Service .. ............ ` No. of Meters .......�/'/....�....... Reconnect .. .................... 1 Move Service ..__ .......... No. of Add. Meters ............_ M •e Meter ._........._..._._.... I alt PLUMBING INSPI C R '�. � OFFICE COPY ELECTRIC S RACE NOTICE I BUILDING INSPECTOR'S OFFICE EA CITY OF CUPERTINO ' To You are hereby 2.1thorized to mt t e ical service for Owner or Tenant .....11 A . _ ` -- � - / 1..._C.e.;..-...... At .._�.I.. Cc..r No. of Wires .._.�.........._. Size of Wires'...--: .. .. Size of Switch 14, �:. Motor Load .......................... Voltage .... -- --- Phase --............. ... . . . .........._.._. Heating Load ........................ K./\�lr. ....................... ........- Voltage ..... ....... . . Light./e......... 110..... ............ No. of Meters.........fi../....- .,,_... .._ Move Service........... Heat................. 2?0..... hre0 No.of Add. Meters............ Power............... hree Phaze....;. .: ._ Move Meter-....._.__; ....... ..... . .. 'P.LECTRICAL IN ; tOUTE SLIP File No: Irf -7 Date Out Dat/e� In ., Location Subject , rasa;�°�' Notes Approved Date Inspector