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NO PERMIT NUMBER (3) No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No.S, O S� Sanitary No. Dote � � 196 `� Appli on is hereb made for a permit to a _ sto"y, Type ^•�+� to be occupied only as N//M\ in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ �/. fi low FEE$ 10 Plan Check $ Owner ddress Contr. ` ddress lot Phone 'State Licens Approved APPLICATION FOR ELECTRICAL PERMIT Date �Q "' Z`n� 10996 S FEES Contr. O �` ti'/Ct-'(��t-s� Address a`�"�/ tO `^`^'•�, Phone .377 — 7s�S?� State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Data 196 a— GAS FEE $ / Q,� PLUMBING FEE $ �•f Contr. -Q�r—C//`-c�-U �!M''^'c.e� Address Phone y l) License O SS State Liee nse Approved WILLIAM D. BENEVICH 196 APPLICATION FOR FEESIANCE PERMIT 7o2S Date Contr. gz:omj pp y� Address Phone � /1-"-a `d/ �/ State License " � '2' Approved WILLIAM D. BENEVICH Applicants agreelnot to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION S BUILDING D ems/ �i or UNDERFLOOR a r FRAME Q — LATH & PLASTER FINAL Date Ins oactor ELECTRICAL .OUTLETS 14,677 SWITCHES SERVICE SIZE ' UNDERGROUND RECE PTACL ctor S ROUGH WIRING � `� otaInspector FIXTURES ` FINISH WIRING Data Inspector H.P CHARGE FIXTURES Date Inspector P MIT FEE � � Motors D / TOTAL FEES 1/ FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE L066TERIAL J WATER SYSTEM SIZE TERIAL TOTAL FIXTURES /0OO-o UNDERGROUND FIXTURE FEE PARTIAL ROUGH -2`I—GA Dat or MAIN DRAIN FEE W ROUGH COMPLET O 2I Data n r STORM DRAIN FEE MAIN DRAIN WATER SYSTEM FEE GAS PIPING Date, On.p. r GAS PIPING FEE FINAL -CSS Datector PERMIT FEE o2 i� MISC Date Inspector TOTAL FEE �G � MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS �S BLOWER FURNACES 'COMBUSTION VENT o2 SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE o.L. FLOOR FURNACE TOTAL FEE / INSPECTED Dote Inspector CERTIFICATE OF 'COMPLE?FON BIJUMING INSPFZMWS OFFICE CITY OF CUPBBTINO Due..... ..:.s? ....._.............. 19.1 ... Building Permit NNo&CI017.. The Building Looted at .r C� �7 '•-W•Y[� �r,9��feFl !� sl:_... Owned h9 .:.. v*r� .._.,v_�' .................................. i Hu Been « -) For Use Ae: ....._.s? .. ............_..........._...._............_.........._......_...._............ ......_...................... ................_..._... ................................_................................................................._.............................._..._... ................_.............................._............_...._..................._....:_::..._......_.._............_... _.._.. BX;LDDIG IDIgpIiCtOR 102 7/63LXG '' ELECTRIC SERVICE NOTICE OFFid copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ............. .... . ............... ....... . .. ..... .— You are hereby auphorized t 0sect el aI s ' for Owner or Tenant ............ At .......................................... ..........0�................................ ................................. N6. of Wiresl��!.................. Size of Wires ...A.. — 4:0111. - ....... - - - Size of SwitC611/-............. MotorLoad .......................... Voltage ................................ Phase .................................. HeatingLoad ........................ K. W. ......................... ........ Voltage .................... ----------- No. of Meters...../. Light,�—:*......... 110- New Service._..._ Reconnect.... ea No.of Add. Mete u.. 220............ Three Wire................ Move Service—.... Power.............. Phase...... ... Move Meter.............. ...... .. ..... ... 'ELECTRICAL INSPECTOR GAS SERVICE NOTICE OFFIGN BUILDING INSPECTOR'S OFFICE COPY CITY OF CUPERTINO ............... 196 Tu You are hereby authorized to connect the GAS service for Owner or Tenant ....... ....... At ........... ........I............ . New Service ....... .................. No. of Meters ... Reconnect .............................. Move Service .... ........ No. of Add. Meters ............. "c M"cINSPECTOR'�'c - AU�MMN G Bldg. Dept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. ........i"-7...... [dumbing Final Plumbing Permit No. ..—:5,/-C Lot No. ...o�17---............... Owner or Tenant i��------------------------------------------- At --- ---- --- ---- ---------- Tract ----- ------------------------------------ DateConnected ....... -------------------//7&------------------------------------ --------------- Date Final ..... ----------------------- .......... III 7/63-IM ROUTE SLIP file No . Date Out�2 —2 7-5— Date In _ Location �2 7 Subjeat Note: / O-------------- - ��f, ApprovedA0$ 1 — Date " Inspsctor ROUTE SLIP File No. .4 / d k Date Out —� �— Date In _ Location Subject Notes Approved 7Date Inspector ,