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NO PERMIT NUMBER (2) Lot No. 17 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO �y File No. S�II/ Sanitary No. Do to y 196 Application is hereby made for a permit to a story, Type $� i 17 to be occupied only as in accordar' with plot plan, plans and Specification filed herewith, Estimated Value of Improvements $ wp�G0j V 40 0 FEES J104 •soot Plan Check E /� y 4 /� Owrmroil", I Address 0? � Vl.e+:s. Contr. re Address PC.", Phone Stare License II tt/-r ' / 7 / zj Approved I _ / 1014 APPLICATION FOR ELECTRICAL PERMIT Y Dara 196 FEES ? d Contr, Address Phone _ o7—Cl r� 02- 7 d o Stora License 7 •; �1' Approved APPLICATION FOR PLUMBING & GAS PERMIT Dara 'ti� 196 S' GAS FEE $ c � ///-� PLUMBING FEE $ — —2 Contr. P/&, Address _ZLbo — e5L t f Phone '�7� �' LCTo State License — 2-3 Approved VJ1LL1Tj,1 D. C^P.r vrre_v i APP CATION FOR APPLIANCE PERMIT Data196� l FEES Contr. 8 17Address l3� Sc,C Phone `/70 y 3 State License / Approved WILLIAM D. BENEVICH Applicants agree not to violate any of the Workman's Compensation Laws of the State of California 4. RECORD 6 INSPECTION APPROVALS r�\/BUILDING FOUNDATION -6 2 f p� DA INS C OR UNDERFLOOR —O /D AIN SPE UT ryTE FRAME /`rb A '( DAT IN SPEC LATH PLASTER II//OO'' IN OR FINAL CTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND D T INSPECTOR ROUGH WIRING _ DAT INSPECTOR FINISH WIRING I O E INSPECTOR FIXTURES DATE INSPECTOR MOTORS D T INSPECTOR FINAL DATE INSPECTOR PLUMBING & GAS UNDERGROUND . DAT ECTOR PARTIAL ROUGH DA/TE ECTOR ROUGH COMPLETE �- b DATE SPECTOR MAIN DRAIN 6 ^e e/ATE NSPECTOR GAS PIPING � Y _ ATE INSPECTOR FINAL 5 DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC VN DATE INSPECTOR MISC CTOR MISC DATE INSPECTOR l CERTIFICATE OF COMPLETION BUILDING INSPECTORS OFFICE CITY OF CUPERTINO Date ----1(7.....F......................... 190G---- Building Permit N0�7 ------------------ The Building Located at --------12-V-.-- --,-C-- -- - Ownedby ...... .......... . ----------------------------------------- .4-------- Has Been (Completed) (AlteaedaFor Use As: ................. .................................................................................................................................................. ... ..................................................................................... ----------------------------------------------------- ------------------------------------------------------------------ ---------------- ;��---------J4-------------------------- �&A'---a---Lv—)G ------------------:---------- ---*.. ................*---- ----------- BUILDING INSPECTOR 102 12/66-IM GAS SERVICE NOTICE OFFICE BUILDING INSPECTOR'S OFFICE COPY CITY OF CUPERTfNpX ............... ... .............. 19646.� To You are hereby authorized to connect the GAS service for Owner or Tenant .... At L ...... ......—............ ........ ...... New Service . ........... No. of Meters ../............ Reconnect ...... Move Service ....................... No. of Add. Meters .............. Move Meter .....I......... ....................... PLUMBING INSPECTOR II OFFICE COPY ELECTRIC SERVICE NOTICE lq BUILDING INSPECTOR'S OFFICE 1 CITY OF CUPERTINO r" �I ...... ........... .._.........., 196 .. To You are hereby author' d o nne el.ectrical service for Owner or Tenant .............:. . .-,. . ..._.. _ At ......._o2..L .z3.-.._ _.._... ..-....._.-. ._.._... No. of Wires ...-- J.........._- Size of Wires . .. .. Size of Switch ._�.QszA Motor Load Voltage ..............._.... Phase Heating Load ........................ K. \/��. .......__...-------.. .......... Voltage .._......._ ............. Light_./........ I IU_ New S rvicr..._.. L nnect........._...... No. of Meters......`....-....... HeaL...._......_.. 220...._,_ Th Wir ..... ... Service-.._._... No. of Add. Meters- Power............... r h _ Meter...... .........._._. .. ..._.._--....._.._...-.... ..._...- ELECTRICAL INSPECTOR Bldg. Dept. Office Copy BUILDING INSPECTOR'S 'OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No- ----- [LjiPlurnbing Final Plumbing Permit No.&-111rP1 Lot ------- No. ---- Owner or Tenant ----A:� / 0---- ---------------- ---- -------------------------------------------------------- At ....<::> —--------------------------------------------- Tract ----- Date Connected ---------------------- ------------ ------------------------------ 19 Date Final .............................. --------------------- - 194;e 1�0------ ---- --- ---*----------------- ----------- - -------------------*--------- ,10'PLUMBING INSPECTOR 111 12/66-IM ROUTE tiLIP - File No. Date. 0ut. 1z, 2,p-67 Date. In Location subject 1112 Notes C330.d Approved 12-U-C7 c _ Date Inspector