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NO PERMIT NUMBER (3) ✓ :::��of No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No. �' ) File No./DQ�.� t Date 196 Application is hereby made for a permit to a story, Type to be occupied only as ' in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ 0' FEE$ Plan Check $ Owner //v+"✓ Address Canty Address Phone _ �`f r �/— State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date �'r 1967 / GAS FEE $ 3 ,52— PLUMBING SZPLUMBING FEE/$ Cont'. y ��!/'Z Address d'" �` 7.z Phone State License Approved APPLICATION FOR APPLIANCE PERMIT e Data 196 FEES Contr. Address Phone State License Approved Applicants agree not to vinla to any of thy. Workman's Compensation Laws of the State, of Califnrnia RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL , FOUNDATION UNDERFLOOR FRAME LATH 8 PLASTER GRADING FINAL FINAL BLDG. 7 ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRING FIXTURES MOTORS- FINAL- 57- OTORS FINAL �- PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REQ. SANITARY N0, UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. / FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. MISC MISC MISC i GAS SERVICE NOTICE OFFICE BUILDING INSPECTOR'S 'OFFICE COPY CITY OF CUPERTINO 192 To You are hereby authorized to connect the GAS service for Owner or Tenant At ....1.�Nl..... New Service .......................... No. of Meters .......... ... . .. Reconnect ............................. Move Service ....................... No. of Add. Meters .............. Move Meter ........................ ..... ...................... PLUMBING INSPECTOR OFFICE COPY CITY OF CUPERTINO ELECTRIC SERVICE NOTICE You are hereby authorized to connect electrical service for Owner or Tenant ...... Z .....fe.j..1. ...................... At .... No. of Wires ._............._...... Size of'Wires ........._..V...... Size of Switch ..... Motor Load ------ ................... Voltage - - ------- Phase .... .................. Heating Load ........................ K. W. . . ..... ...... Voltage . ........................... . No. of Meters..... (Light................ 110............ New Senicv...... J<ctonnect...... No. of Add. Meters............ Heat..._............ 220........_ Three Wire... ser,i(,....... .Power..._._.-..... "fhrm Phase Meter........ i e .......... _(—.. .... ... ELECTR!CAL INSPECT0 .4