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NO PERMIT NUMBER (4) VLAA6 (T-em Lot No. 17 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Fiie No. Date 9 Sanitary No. 4ors '9 Appl n is hereb made for a permit to n" C a *%A. ory, Type to be occupied only as C-40-� 0 &%JSLL in accordance with Plot Plan, Plans and Specification filed hcrewit& $ %&�Ahj% Estimated Value of Improvements FEE$ A 077LIT Plan Check $ Ow',er P ddr.ss Cant, auauAivadress Pho State Lice nse Approved KQU&M=�. APPLICATION FOR ELECTRICAL PERMIT Dot. Z-2 196 6– FEES Contr, Addr... Phone 2 7, 7- State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 cz� GAS FEE $ PLUMBING FEE S Contr. G —Z-0—e 4-1� (f1JAddre,ss 2�/ Phone 'P L, —G State License / Approved WILLJAM D. 13ENEVICH APPL PTION FOR APPLIANCE PERMIT Date 196 FEE$ 7, 7 Contr. 6�? Address 13 d Phone x� State License WILLIAM D. DENEVICH Approved Applicants agree not to violate any of the ItIorkman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION P-J�_,:��r BUILDING UNDERFLOOR RAME tor (��AIP�T R FINAL Q0--lp.cto, Da to actor ELECTRICAL OUTLETS SWITCHES UNDERGROUND SERVICE SIZE a RECEPTAc7LS ROUGH W[RING FIXTURES FINISH WIRING DO to C—�rn-pector f7(7=-7 Date Inspector H.P. CHARGE FIXTURES— PERMIT FEE Motors Date Inspector TOTAL FEES FINAL 1.2 -/e2zr I Wtor Date /-/—Inspector PLUMBING & GAS MAIN DRAIN SIZE I I MATERIAL STORM DRAIN I SIZE I twd,6TERIAL I WATER SYSTEM SIZE 4TERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date MAIN DRAIN FEE ROUGH COMPLETF/O--?/3�5 Do to n STORM DRAIN FEE MAIN DRAIN WATER SYSTEM FEE GAS I PIPING/ Dgle GAS PIPING FEE FINAL —.-Pa' Date Wn.p.ct.r:: PERMIT FEE MISC Date Inspector TOTAL FEE MISC I Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT 2 SUSPENDED UNIT MISC A MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED c4ga, Do to �,�Sprctoi"- LlklVA L/I STA PL No. Street L'or No. CITY OF CUPERTINO APPLICATION FOR PLUMBING PERMIT NOV 29 197Z CITY OF CUPERTINO 0 U Sanitary No. A I I)/,- 7 E Date 0 ec $ 3.V, e Application is hereby made to the City of Cupertino for a permit to install plumbing pip s and/or fixtures listed on the reverse side hereof,and agrees to install said prices and/or fixtures y of Cupertino,and all other in accordance with the provisions of the Plumbing Code of the Cit laws applicable thereto. use 01 Fremises 0 Owner Zcj( Address j/I 0 Z --RAy By 4,�6 Pe-P��L50r�Agent Zt AddreSJ76 PC /,eVT '2 -7 0 0 Phone -7 State License 2- -3 -7909 Approved 01- Plumbing Inspector LL �-1 Z, In fi — SLIP RbUTE File No . Date Out Date In , Locatio'! r�z Subje--t . Notes Approved 81134 Date Inspector ROUTE SLIP File No . X/0 Date Out Date In Location Subje--t . Notes Approved Jul Date Inspector CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ...... ..................... Building Permit Nw4wf7. The Building Located at ......... 4 Owned by .. ........... ......................................................... Has Been For Use As: ........ ------------- .......... �(Al er ' .......................................................................................................................................... ................................................................................................................................................. ................................................................................ ........................................................ ..................................... i*DING INSPECrOR 102 7/63-500 . . I . 131.il;. Dept Cifficc G-.py BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. .... ......... bing Final Plumbing Permit No. ......... Lot No- ------- - ------- ------------------------- Owner or Tenant ..... ... ...... ..... At ----------- .......Rv-—-------- --------- Tract --------------- ------ .... .. .. . ... .. ............... .. ......................... DateConnected ----------------------- ------(.1------ -------------------------------------- DateFinal --------------------------------- ------I...-2� -- ------ .............................. -------------------- ......................................................... III 7/63-IM PLUMBING INSPEcrOR OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ......... 19 ...... To You are hereby autho to co.one�ct�eectrical servic <71�m A k3 L , *-) — Owneror Tenant ............. .....-...L.........A..........q.......................... ...... ........... At ..............-a-Z. ..........-............................. ...... ............ I rz,0 F\ .................... No. of Wires .... .............. Size of Wires ....... ......... Size of Switch MotorLoad .......................... Voltage .................... ........... Phase ............. ............ ...... HeatingLoad ........................ K. W. -...... ............ ------- Voltage ........... ----.........-- Ih, 110... New Smice.....*��Keconnect.........-...... No. of Meters..... 220......mo!�hree Wire-............... Move Service-- -- He t_. No. Of Add. Mete s Power-............ Three Phase....-......... Move Meter.............. ............... ...........................-':..........- ...... ELECTRICAL INSPECTOR GAS SERVICE NOTICE OFFICE BUILDING INSPECTOR'S OFFICE CO.py CITY OF CUPERTINO ----------------- ................ To You are hereby a ize to connect the GAS se cc for Owner or Ten.— .......C ..... - ------ 1 .. q.X.5 At ............. .......C�-t........ ............... .......P.L................. New Service ..... No. of Meters ....... ........ Reconnect .............................. Move service .................... No. of Add. Meters .............. Move Meter ....................... . .................................................................................. PLUMBING INSPECTOR 110 6/63-500