NO PERMIT NUMBER (4). �LecT
SUAI iQ ,.St 0R .. Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Z
Date / Y� 196 —7 V
Application is hereby made for a permit to
a
to be occupied only as
Sanitary No.
File No. 15—//j3 q
T
story, Type .
in accordance with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $
FEE$
Plan Check b
Owner , / Address
Contr. Address
Phone .2-Y3 - s ,' k6 State Licensle/
Approved k 'e'—
APPLICATION FOR ELECTRICAL PERMIT
Date
196 FEE$
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
196 GAS FEE $
PLUMBING FEE $
Cant,
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
196 FEES
Cont,.
- Address
Phone
"' - State License
Approved
Applicants agree not
to violate any of the -- '
Workman's Compensation Laws of the
State of California
PAD FINAL,_
FOUNDATION_
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
UNDER
ROUGh
FINISH
FIXTU
MOTOF
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
ELECTRICAL
DATF INSPECTOR MISC.
GROUND ROUGH
WIRING
ED WIRING
RES
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:S
BACK FLOW REO._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE _
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
DATE INSPECTOR MI
Cupertino Sanitary
District Copy
BUILDING INSPECTOR'S OFFICE
hIyy���� F CITY OF CUPERTINO nn �J/
D(/Sewer Connection Sanitary Permit No....c2:.17
....._.._.
Plumbing Final Plumbing Permit No. a�ll���.......
PLUMBING INSPECTOR
OFFICE COPY
5L9- ELECTRIC SERVICE NOTICE
4� A BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
I96. )—
To
You are hereby orb rized toct el ical .e for
Owner or Tenant .... �`� S
At
No. of Wires ........._............. Size of Wires .._....__......._. Size of Switch(UU..W.-..
Motor Load .......................... Voltage ........._.._...... Phase .... _........ .......
.........
Heating Load ........ ................ K. W...... .......... ..._....... _.— Voltage ---- ....... .........
Light ................ ' I0........._. New Serv' e... Reconnect...%C.......
No. of Meters....
Heat..............._ 220 ....... hr , e..........._.. Move Service..........
No. of Add. Meters............
Power ............... as ................ Move Meter..............
L. ............ .:e.._...,
EL MCAL INSPE OAS 1
�t'
my or cup"TICE OF ADDITIONAL CHARGE
CITY OF CUPERTINO
OCT 2 71972 BUILDING INSPECTOR'S OFFICE
Date
P, .. A -z ...... 19.Z... Permit No.
To......•
.........
Address ....
................ .... . ........ . ....... ......... ............
L4
Reason ad
. ..... -----
------ ---------- .......... ........ . ........ ..
------------ ------------ .......................... . ........ . ........................ .......... ...... -------- -
Amount $3--4��) ...... Signed --- er
........ .......... ........ .......... ..........
106 3/59.300
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� I L,C {'/ I�i S C LOT NO.
NO. STREET
at a C1SY OF CyFumo
z _ CITY OF CUPERTINO
211
OCT 25 1972 APPLICATION FOR ELECTRICAL PERMIT
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W O A Permit No.
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? O Date I �/' / .19 Fee $�
01- Application is hereby made to the City of Cupertino for a permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
I-= City of Cupertino, and all other laws applicable thereto.
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Do Use of Work To Be
>y Premises �y77P_
Pertormed� ✓ r�P4
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OQ Owner f;US Q7L[ ��FruS gtltlresscC7(�/� N Ylie Ur
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j 0 aY l e Address C Li J2 er
3 QContractor, Agent
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N one i.ense —
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� d State License D.�L���✓+.-�tii PP ovetl
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O ? Electrical Inspector
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')Q / 2 �-'u n Ii6� �/� C; u�� LOT
NO. STREEI'
CITY OF CUPERTINO
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Rn, OF CAMICATION FOR 'PLUMBING PERMIT Q
r oSanitary No. ` I
3 a Date SEP 28 19
72 19 _ Permit No�xl3
U p /� j�
0 it, T h6 Fee $�
Appl ati n is e y made to the City of Cupertino for a permit to install plumbing
'o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
'z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City Of
a w Cupertino, and all other Taws applicable thereto.
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Use of Premises
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oa Owner �/e R&; --/ d S Address
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PY Address 151W,d ?I -Pm 0 N--� Rp
3 �/ CONY oACTOR, AGENT �'✓_ e�C1 PQ CA4
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— m Phone <294 ` O 3,13
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a 2I�IyS/tate LicenseV,9CSiQO Approved
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0I PLUMBING INSPECTOR `'
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