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NO PERMIT NUMBER (2) Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Q Sanitary No.-�js'Sa 8` File No. d-/a.14r d• Date 196 Application is hereby made for a permit to L%1 a story, Type S .Z J to be occupied only as .. r in accord a with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements $ '940 do 0 C V a FEE$ — '00' .S--a Plan Check $ Owner. %b+O a.J Address Lr/P 7 �• rf ✓ Contr. Address Phone State License06- / 024-1 cdc s' Approved Q� as a APPLICATION FOR ELECTRICAL PERMIT z �o Data / O 196 OF FEES �✓ � �// Contr. 4� t Address 91 ? S /"Sf.✓i/ �-°� S Y Phone 7-' G ^ dS of 'State License /"L `4 -d Approved �� APPLICATION FOR PLUMBING & GArS PERMIT Dote a� 1964:3 GAS FEE E ` ' `tom` M.�.,, (� PLUMBING.FEE $$y` ,, , (�,.,,—C�, - Contr.lsu`W/1(V��J h�'�^( V.� Address _lY 1\�x�.�A�Y.X`1LS - C3 Phone 191M IJ Ul State License 1 / 15r.]_/ Approved tOW.IAM D, 13F-NFVICM APPLICATION FOR APPLIANCE PERMIT Dote 196 FEES Phone S/ -�'-6 C) S State License % o 40 Ly - Approved -- Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. "4Z ADFINAL N ' IF 0 ' Y ELECTRICAL DATE INS ECTOR MISC. UNDERGROUND ROUGH- ROUGH OUGH ROUGH WIRING 0 FINISHED WIRING FIXTURES MOTORS FINAL �Y PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. CK FLOW REQ. SANITARY NO. UNDERGROUND ROUGH TR PARTIAL ROUGH.W VAJ7610 am 11-1,10 % ' ROUGH COMPLET � �T+ ' wftTO-i Ant TL'1 oN wAfir " t^F-70 MAIN DRAIN FINAL PLBG. FINAL GAS - FINAL APPLIANCE Q 70 DATE INSPECTOR MISC. MISC MISC �r MISC r W CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ................ZC ......... ....... 19--- Building Permit No. The Buildifig Located at ........PA.,....................... ............ .. ....... Ownedby ....... . ................................................................ Has Been . (Coffipleted) For Use As. ............ ... .............Ile....... . .............. (Altered) ................ ......................I................... ...................................................................................... . .....................................I.................................................:................................................... ......................................................................................................................... .... .........................��!4/ .�%................... BUILDING INSPECTOR GAS SERVICE NOTICE OI=Flee .BUILDING INSPECTOR'S OFFICE core CITY OF CUPERTINO, ! To . You are hereby �authorized to connect 'the GAS service for Owner or Tenant .... ......le er7 •, . At .—d/ a _ .New Service ............. ..:_...... No.. of Meters ........../........ Reconnect .............. Move Service ........ ..... ... ........ No. of Add. Meters ..'........... Move Meter .._ ...._._..._..... . PLUMBING INSPECTOR. - OFFICE COPY r CITY OF CUPERTINO ELECTRIC SERVICE NOTICE You are hereby authorized to connect electrical service for Owner or Tenant ...........!... ..................(.�.....jf At ............... ...:. Y. .:._....,-. .._.......-......_......._........... No. of Wires ........................ SizetS//II f Wires ...................... Size of Switch ` . ..........l'• �• Motor Load .......................... Voltage ...........-.................... Phase .................................. Heating Load ........................ K. W. .................................. Voltage ........................... ..... ` / Light................ 110...�...... New Service......' �... Itecunnect.............. ... No. of Meters....._.../...--.... No. of Add. Meters............ Heat................. ?20.`...... Three Wire............_. \fore Servicr........... ,Power............... Three Phase............... \ rre M1[cter........ ELECTRICAL INSPECTOR Bldg. Dept. ,( Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Ili Sewer Connection Sanitary Permit No. .....r.5 .� © Plumbing Final Plumbing Permit No. ... .Laao,_l ll 6r Lot No. ............61 ......._....... l Owner or Tenant ._.....7xtf�...... ✓ ......................................................... At -------- ..L.S n-.YZ........... eJi.� n.n .......QJ:.............. .........................:........... Tract .........�rIJ: r..... 11.if..:..........._...........................-............................... ........ i Date Connected ....... �."..�!...................................:......................:.. 19-........... DateFinal .............l..U.......�...........�V..................................................... .... 19............ . ....... PLUMBING INSPECTOR ROUTE SLIP File No . Date3 —/If- 7!b Location Com=/ Subject Notes A y_ 7� ppr�vec� -lp Date In pector fo yrsOFFICE COPY 0 -� CITY OF CUPERTINO 1 " 1p-, ELECTRIC SERVICE NOTICE 1 T 9 You are hereby authorized toconnectelectrical service for Owner or Tenant qw , ................................... At ... No. of Wires ......0.......... Size of Wiresi... ....... Size of Switch . ....... Motor Load .......................... Voltage ................................ Phase Q ...... HeatingLoad ......................- K. W. ---................ .......... Voltage ................................ Light.........110... .... New ServicRe(unnect......... No. of Meters........ ........ e...... Heat................. 220............ Three Wire.....:.......... Xfo,c Service............ No. of Add.Meters............ Power.............- I'hrve'P, leter........ ee� ELECTMAL INSPECTOR 11VU1.0 U1J11 File No .S /7 w. Date rO iJ Location 6 Subject 6� Notes_ Approved.1� Date Inspector