NO PERMIT NUMBER (2)No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196`/
A� cation is hereby made for a permit to
to be occupied only as
in accordance
Estimated Value of Improvements
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FEES — •� O e 5-V
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Lot No.
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File No. y'
Sanitary No.
.story, Type 4.+ i 1/
Plan, Plans and Specification filed herewith,
s ca
Plan Check $
Address �7 /
Address
Phone %�f C "IC State License a J—/ C ;,I
Approved J 1 i ✓//
APPLICATION FOR ELECTRICAL PERMIT
Date 1996 6
FEES __ 3• 7,0/
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APPLICATION FOR PLUMBING & GAS PERMIT
Data s � 196 1"
GAS FEE $
PLUMBING FEE S
Cont,.
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Address
Phone �y�' .fSl�o
State License
,Approved WILLIAM D. Rr l\lrrtrt�w
APPLICATION FOR APPLIANCE PERMIT
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Dote 196
FEES
Contr.
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Address %7'9
Phone '7"6 O `�
State License //d
Approved WILLIAPA D. BENEVIS
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
6 �' BUILDING F�.� Jt�"'wY- ��6�
FOUNDATION
DATE INS E TOR
UNDERFLOOR S 3-6
7-9—W DATE INS E TOR
FRAME
D/AT INS TOR
LAT PLASTER
p DATE INS E TOR
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DATE INSPECTOR
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ELECT.
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FINISH W
FIXTURE
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APPLIANCE
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INSPECTOR
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DATE
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DATE
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INSPECTOR
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INSPECTOR
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DATE / INSPECTOR
13-6 �--QYMBING & GAS
°RGROUND
APPLIANCE
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NSPEC TOR
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INSPECTOR
DAT
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PECTOR
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DATE
INSPECTOR
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CTE
DATE
INSPECTOR
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DATE
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INSPECTED
MISC
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MISIC
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APPLIANCE
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date . l ... ...r -/.................... ,aa19-ppr:.:.i . Building'. Perm�it[.
No.3-� t� -
The Building Located at --------- ...exp Zoa—/�`Q.4.�.:.�IL`r..............
Ownedb _ �arr"..:::}. I`a�ht/`-iL:..............�..ti'."-a----�-- )-
y ..... i
<-
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Has Been (Completed)
ForUse As: ...... ... ----.---`--------------------.
------------------------------------------------------------------------
BUILDING INSPECTOR
102 12/66 -IM
To
You are hereby
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY 01: CUPERTINO
196...0.
'
to connect eleftr al service cc for
Owner or Tenant .................
At ............ 2.4
No. of Wires ... ...:Z_---_--- Size of Wires ....
7�
T Size of Switch
Motor Load -- ....................... Voltage ...... ...... .... ..... phase - ................. .. ..
Heating Load ........... K. W. Voltage ... .......... ... ........
No. of Meters... Light......!......
igt--- le�l 10 -Service .....
Reconnect... ..... ......
No. of Add. Meters Heat 210 ...... Th_ W, Service_......_..
L It M
Power....'.......... 17CC P Se Move Meter......
. ... .. .......................
ELECTIUCAL INSPECT
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI��O
...196.0p�
................ - ...... .......
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .....
.... . ........ I ....... .............. ..................
New Service ..... . .................
No. of Meters ...//........... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
n Sewer Connection Sanitary Permit No . ......
Er"Plumbing Final Plumbing Permit No. 1�711,1?21 -----
LotNo. ------k..............-----
Owner
k ----- - ------ ----
Owner or Tenant
At ...1 19np-t
Tract ........... � -9- ;n—,
-------------------------------
---- --------------------------------
Date Connected
....... ------------------------------
Date Final
------------- -- ---------------------- 19( ......
PLUMBING INSPECTOR
111 12/66 -IM
ROUTE SLIP
File��—
Date
Location
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Subject
Note
Approved /- �O �r ��z
Date-Insptitor