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51187 caiJ'fo Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. _Da to 196 Sanitary No. � . .,. Application is hereby made for a permit to story, Type to be.occupied only as 4- in accordance with Plot Plan, Plans and Sp ification file herewith„ E timated Value of Improvements ' E �laA040 'FEES Plan Check $ Ow r,er Address A e a Ps 55L Aw, 'Contra Address Phone A2 fal see A R - r— sog Approved C' APPLICATION FOR ELECTRICAL PERMIT Date �� 3 196 l / FEES Coritr• rr�yy�t-�^-�u�A / Address 9-2"J- Phone '2'rPhone ,/j6 3�'1-/ State License WILLIAM D. EIENEVIC ` Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE E / PLUMBING FEE $ 3 Contr. 141r�t.t�wt //.•(.>7fl Address � t . Phone ��u a�� State License as- V Approved WILLIAM D. BENEVICH APPLE ATION FOR APPLIANCE PERMIT Date Z 1% a FEES 4� p Contr. Address phone ee' d e State License fi d- G Sl-L- Approved WILLIAM D. BENEVICH Applicants agree not to violate any,of the Workman's Compensation Laws'of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION }►� . L-- g'LI C p FOUNDATION �0 �6� / BUILDING pp ty� p ns ect r UNDERFLOOR �i� C Date In FRAME ate I ns pe LATH PLASTER 990��/U — 6 FINAL `J a Date I ns De c tar ELECTRICAL .OUTLETS SERVICE SIP SWITCHES UNDERGROUND L to Inspector RECEPTACLES ROUGH WIRING I y Dptt` Inspector FIXTURES FINISH WIRING ll O t Inspector H.P. CHARGE FIXTURES Inspector PERMIT FEE Motors ./ 1 �DFtt/ f Inspector TOTAL FEES FINAL l \ l0 Data Inspector PLUMBING GA GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL - 2-74 r CIA WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date f r MAIN DRAIN FEE ROUGH COMPLET — - Date,/ n r STORM DRAIN FEE MAIN DRAIN c? 9 ctor WATER SYSTEM FEE GAS PIPING Data or GAS PIPING FEE FINAL oZ'12 -•Date nspector PERMIT FEE MISC Date- Inspector TOTAL FEE MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FFEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED' n„t.. Ins De ctor ROUTE SLIP File No. ,pp Date Location Subject �_�_��,� Notes Approved,//—;:?.5r Date ' IrffpVceor Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO r-1 Sewer Connection Sanitary Permit No. .". 4-- umbin Fina1 Plumbing Permit No. ------- Lot No. ....../(a................. 1 W, I Owner or Tenant ..................................... ---------------------- At Tract ....................I. o ...................... Date Connected ..... ............................................. 194,2A DateFinal ............................../e.J�.ZAA...................................--.............:...... ig. ....................................................................... PLUMBING INSPECTOR . 111 12/66-IM GAS SERVICE NOTICE °orC` BUILDING INSPECTOR'S OFFICE { CITY OF�. CUPERT ..............�........L ...... ....... ._._.......... 196.9.. 0 You are hereby authorized to conned the GAS service for At ......... ......................................... Owner or Tenant ... ......... New Service .✓............ ` No. of Meters .... ............. Reconnect ....:........................ Move Service ..........'.......... No. of Add. Meters .............. Move Meter ........................ � PL BING INSPECTOR I CITY OF CUPERTINO OFFICE COPY ELECTRIC SERVICE NOTICE ....... .......... ...... ................• 119 You are hereby aut ' ze t co d lectrical service for Owner or Tenant ................ .... ...... ....... ....... . At ...... ....... ------ ... .. ......I........ ........I........................ No. of Wires .......... .......... Size of Wire ..... .......1� Size of Switch Motor Load .......................... Vof, ltage ................................ Phase ................ Heating Load ........................ K. W ............................. Voltage .......... �Light.......:........ 110.... .......... he'unnect............. No;•of Meters.. e No.of Add. Me rat Heat................ 220.... ..... Thn Power............... .. ...... �,� four Meter ..... . . ..................... ...........--........... CLECTRICA'L INSPECTOR CERTIFICATE OF COMPLETFON" BUILDING INSPECTOR'S OFFICE CITY.., 4OFpCUPERTINO J ry q Date ..:"...13.................... 19.��o uilding Permit No.r.��...�l..f.l- The Building Located ab . .3 . ..R�+`1 ....../ry.. :............ Ownedby ---- ..... . . 5 ................................. ...... i!y4 .. - .5 .............. (Co�d) /v .................... ..: Has Been .For Use As: ........... .. ............................................... .... .----------------- .................................................................................................................................................. ..................'------.--'--.--------..................................-------... ' '...................... ........................... . BUILDING INSPECTOR 102 12/66.1M - j �. - •._ N OFFICIE COPY j ELECTRIC SERVICE NOTICE l IL ING INSPECTOR'S OFFICE Y OF CUPERTINO .. GY�u a hereby au ize ec�t electrical service for Owner or Tenant ................ .......... ...... . No. of Wires ........ ....... Size of Wires . .." .... Size of SwitchQ. - �. Motor Load .......................... Voltage :........................_.._. Phase ..............._ ........ _. ' Heating Load ............. .......... K. W. .................................. Voltage ...................._........ . Light........../"IIU........... ew Service................ Reconnect....._..._...... No. of"Meters................... Heat................. 220..... . Three ire...._ ._...... Mnve Service.......... No.of Add. Meters............ i! Power............... hI P\ ............... Move Meter.............. ELECTRICAL INSPECT No, r/St t 1 1(' Lot No. ® APPLICATI R BUILDING PERMIT UG 12 1968 t of Cupertino .F Date 19 Sanitary A 'C'm t No. o 'o Applicatio islh9rebn fad�'f'p('�1Gef;!fi 1fo' ll.�iUUff-LLI\ Buy 3 a �� story,Type Building u 'O w to be occupied only as in accordance with 0 ° ' Plans,Specifications and Plot-Plan filed 47ewith. PI Ck KI h �_.R � SQ Estimated Value of Improvements,ala.�/C� Fee$ 41� c `o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and > y all other laws applicable to the construction, location, and use of buildings within the City of 0 Cupertino ill bg comp 'e with. F f 3 Owne Addre ° a 9y Addre tob t° Phone t: i 5 Approved WILLIAM D. BLNEVICH State License _/,S—/ 7 5; / Building Inspector