NO PERMIT NUMBER (2) 02� / srl �� Lot No.
No. �� "treat V1 1 //.6
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.%r"'G C7
�QSanitary No.
Data 196
A plication is hereby made for a permit to
a story, Type 'r
to be occupied only as
in accordant 1PIh Plot Plan, Plans and Specification filed herewith,
Q Estimated Valve of Improvements S �� ���
FEE§ 7 `3' d/J 0 Plan Check §
Owner Address 0202- f���j / /14 ✓s' .1
Comr. Address
Phone OZ IS— � State License /I �
Approved tlv N'ee—�N /
P�
APPLICATION FOR ELECTRICAL PERMIT
Date , ) 1969' FEEE d
Cont,. A)alrl Ot-tQ� Address r^ •'v
Phone - 73/, State License
Approved WILLIAM D. BEN EVICH
APPLICATION FOR PLUMBING & GAS PERMIT S_ `
Date 196GAS FEE § �)
/Jn PLUMBING FEE § ow
Contr. Address 1 L 11C 2L
Phone � � 'j�—J 3 Z 3 State License 1�f6-I Z�
Approved WILLIAM D. EIENEVICH
APPLICATION FOR APPLIANCE PERMIT
Date �-�� 196 9 FEES p //
Contr. A C11 tom- Address 13e)
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
ry BUILDING yep,
FOUNDATION -
DATE INSPECTOR
UNDERFLOOR
o DATE INSPECTOR
FRAME
D/AT I SPECTOR
LAT & PLASTER /v b
DATE . INS E OR
FINAL 3
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DA T/k INSPECTOR
ROUGH WIRING �
LiL
3• INSPECTOR
FINISH WIRING
1 DATE INSPECTOR
FIXTURES 6
DATE INSPECTOR
MOTORS ��—
D4TEINSPECTOR
FINAL
' GATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE, NSPECTOR
PARTIAL ROUGH /a
DATE INSPECTOR
ROUGH COMPLETE 9
ATE NSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED "
DATE 1p INSPECTOR ,
MISC
DATE t INSPECTOR
MISC I
DATE I SPECTOR
MIS
DATE 1 INSPECTOR
ROUTE SLIP
File No.S/,L67-�
Date
Location
Subject
Notes cry v_,,r�'�
�
Approved z:: -
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
4
Date ----------1.2................. 19.6..,.... Building Permit No.�./.16........7.
..3
The Building Located at &.\--------------
Owned by --. _ /....\\.111-------
............ ......... .. ....... .....
Has Been (Completed) .....S-'i7 f
(Altered)- For Use As: ........).��. .............................................
........................................................................................................ -----------------------------------------
-...............................................................................................................................................
................................................................................... A. ...................
.. .................
Et�--
.............................................................
BUILDING INSPECTOR
102 12/66-IM
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .......
dumbing Final Plumbing Permit No.Jl
Lot No. -----/....................
Owner or Tenant ...... --------- -------- -- ----------------------
zw�
---------------- ----------
--—---------
At r"
Tract ----------- ----- ------------------------------------:..........
--------------
------------------ 19-4
-------------------------- ------
Date Connected ........................... /--'-
DateFinal ---------------------------------s-\ ----------------------------------------------------- 15�4x..
4i�M0----------------------------
, ;B�4,,NG INSPECTOR
111 12/66-1M
OFFICE COPY
1 CITY Of.'CUPERTINO
ELECTRIC SERVICE NOTICE
You are hereby autor e 7ecnn ct e ctrical service for _
Owner or Tenant ........... .
No. of Wires ....... ........... Siz Of V 'res � .... ...... . Size of Switch'.
MotorLoad ........... .......... Voltage ._..........._... ........... Phase .....................
HeatingLoad ........................ K. VVI. .._............. ................ Voltage .,..............................
Light..... ...... 1 t0.....__ .. New Service—............... N� e(onnect._......
...
No. of Meters....................
Heat................. 220._ ... Three .. _... Nlocc serrire............
No. of Add. Meters............
Power............... 'Three ase ..... ...... \Lree Meter........
ELECTRICAL INS IF.CTOa
GAS 'SERVICE OFFIC
ERVICE NOTICE COPY,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
............�f=llOl...........—,........... 196,9
You are hereby authorized to connect the GAS service for
Owner or Tenant ....... ........ ............. .......
At ....... ................. ........
New Service
No. of Meters ...I .............. Reconnect .................
Move Service ........................
No. of Add. Meters .............. Move Meter .............. .......
L6 BING INSPECTOR
21995 I HYannisport Drive LOT NO. Lot i#1
NO.
STREET,
+ . ; 1. 1
APPLICATION 'FOR APPLIANCE PERMIT
z a CITY OF CUPERTINO
xo
LL �//6 7 }
o - Date - 196— Permit No.
a �
Fee $ ��a S02 S
0 Application is hereby made to the City-of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
Z N install said appliances in accordance with the provisions of the Plumbing
i Code of the City of Cupertino, and all other laws applicable thereto.
LL Use of Premises Residence
00
Owner Ditz-Crane Address
o < PLOG SHEET METAL C0:
J Z B
Address
J'4 C G 7
3 �
a Phon n �nnc
- " /6t�rTl-{�9 —
o z St6�1l,. !'> Approved WILLIAM �?�N=VICN
40� I I����� ViUMHING INSPEC[OR
C) r) C)
$ -/- --- -------------�
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