NO PERMIT NUMBER (2) Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO /
\ File No. 7,�C
pp Sanitary No.
Do to 196.2_
A lice tion is hereby made for a permit to
a J... story, Type
to be occupied only as
in accordance w&
plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements S'3-se aLid OM
FEES Plan Check $
OwnerAddress
Contr. Y Address
Phone State License
Approved 4"&— - w�
APPLICATION FOR ELECTRICAL PERMIT
i h ! oa
Date 196 / FEES o� b
Contr. // br l a irir�O,oDn S
Address �� rCl�,7w� rCt
Phone �(-, I.-�� State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date i 3 196 L GAS FEE $
PLUMBING FEE $
Contr. __611-4, Address - ! c;LJ K-
Phone --V `L 4-- 1-- 3 L .3 State License I GS 7r`Z
Approved WILLIAM D. Bc'NE\ifnH
APPLICATION FOR APPLIANCE PERMIT /
Date &_ 1% -- FEES 3 p �.
Contr. Address 1136
G
-'s Z.
Phone - O State License ��..2-
. . Approved WILLIAM 0. 'BENEVICH
Applicants agree not to violate any of,the
Workman's Compensation Laws of the+ ,
State of California
RECORD OF INSPECTION APPROVALS
n4 S �,_6r e� ,, QY BUILDING
FOUNDATION Is-- o p j,—4 v
DATE INS CTOR
UNDERFLOOR 3__ Y3_41D
6
DATE IN SP OR
FRAME
LATH PLASTER
G DiTE IN SP R
�7 � �p A�f,E IN SP OR
FINAL Q( /VTC
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DA E INSPECTOR
ROUGH WIRING �'
,R 'aCLDATE INSPECTOR
FINISH WIRING VO
INSPECTOR
FIXTURES CYJ '�OjU(
`-pATF INSPECTOR
MOTORS
' /DAto Uy: V INSPECTOR
FINAL 1\
DATE INSPECTOR
PLUMBING & GAS
---z34 P
UNDERGROUND
_ DATE, N P CTOR
PARTIAL ROUGH {n//(y
T
DA-?IV TOR ECTOR
ROUGH COMPLETE ZA
D EeUMAPECTOR
MAIN DRAIN
S_ � 9yTE INS E TO GAS PIPING YY
�p E INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
� � APPLIANCE
INSPECTED
DATE- INSPECTOR
MISC
DATE INSPECTOR
1
MISC
DATE '�- - � INSPECTOR
MISC
DATE INSPECTOR
ROUTE SLIP � eJ
File No " e;?..?-
Date
Location
Subject _ .����� �
Notes �
Approved - I _!� , �
r
Date
I t
Brdg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CM' OF CUPERTINO
2--s-e`wer .Connection Sanitary Permit No. ..........
-7
Plumbing Final Plumbing Permit No- ---- ...............v
LotNo. ........ ...................
..............................................
Owner or Tenant --------------------- ...............
At ....... .......... . . . ...........................................
.... ........ . .. . . ...... ........................................
Tract .................................................. 1r ILL-
DateConnected ..................................... ................................................
.. ....... .. ............. 19
Date Final -------------------------------:-------------- .................. ......
.... ....... ............
. ...... ... ......PLUMBING
A a77 ... ....... .
PLUMBING INSPE
III 7/63.IM
OFFICES COPY � � `
ELECTRIC 'SERVICE NOTICE
1. BUILDING INSPECTOR'S OFFICE.
CITY OF CUPERTIN pp
I To
You are hereby aut riz t wane lectrical service for
Owner or Tenant .......
At
No. of Wires ------- - --------- Size of Wires" '..... .
._ ...... Size of, Switch I.
► Motor Load .......................... Voltage ..._................ .......... Phase .............._...............
. ...
Heating Load ........................ K. W. ...................... .._....... Voltage
I
/Light... .. i io.... <. New Sen it �....-. Reconnect.....
No. of Meters...................
' (II HeaL._...._"_... 220.../._� T ee Wir ..... . Move Service....._..
No. f Add. Meters............
Power......... Ph .....- -,. ...Move Meter
ELECTRICAL INSPECTOR,
I
GAS SERVICE NOTICE OFFICE
1 BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIZsLO
196
To
You are hereby an o 'ze to c ect the GAS service for _
Owner or Tenant .. ........ .. ........... .....:.._......._......:.__.'...._.._........_.....
At .......
__.._......New Service . .. ..
.f....
No. of Meters .......�.............. Reconnect ......
., Move Service . ............
No. of Add. Meters .. . ........ Move Meter .......
.....E/� „/'C�/.__ :....... ....
i
i PLU��CMBING INSPECTOR '
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
--
Date - ----- -.................. 19- 6 k B 'Id' Permit No. 4,
...... ul ing
(f
The Building Located at I............
........... .... ....../ ... ..........
Owned by .......O-OL ..... ...............)..........
V�............................
(Completed)
Has Been (AtMTdT—For Use As: ................
..... ...................I....... ...................................................................... .............................. ....
............
....................................................*-----------*.............................................. ..............
................. ..................................... ...............---------------- -;y..................... ...........................
............ . .................
...........
BUILDING INSPECTOR
102 12166-1M