51248.3j -aa' -C/ I I 817 riQ OA1' rile - 0__ LOT NO 2-5
NO, STEEET
CTf OP CUP8G040 CITY OF CUPERTINO
OCT 12 lofPLICATION FOR APPLIANCE PERMIT
Da 5-#—V f 1922- Permit No. '3 -3 V� 3
Fee $ e"
Application is hereby made to the City -of Cupertino for a permit to
install gas appliances as listed on the reverse side hereof, and agrees to
install said appliances in accordance with the provisions of the Plumbing
Code of the City of Cupertino, and all other laws applicable thereto.
Use of Premises bAQC1 lA)&
Uwner fit/ f17/f/1� Address MrAkQ Ahkt
BY—BWLi,A' &' (ln Address—Ary J=6
ONTaACfOa, AGHNT
Phone inri7 o
State License 43492. Approved
PLUMEING.INSP1Cr0A v
U1
APPLIANCE II UNITS I FEES
Boilers
Vent
Forced Air. Mech. each Power 1
No. of Air outlets, No. of Flues 11 1
Comfort Cooling
of 20 HP or less
Tntal
Fee
No. Street��
Lot No.
pry of CUPERTINO CITY OF CUPERTINO O�3 B6,Z9
8 1972 APPLICATION FOR BUILDING PERMIT a �/
Date
Sanitary No.
c� Iq Permit No. .�/� ,3
AAPISicarlon is hereby made for a permit
to be occupied onlyasjp
in accordance with
Plans, Specifications and Plot#lan filed herewith. Pl,Vk Feet/
Estimated Value of Improvements, $ �4- B'�L7 BU _ Fee ..$ I -
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction location, and use of buildings within the City of
Cupertinp will be comp 'ed with.
Owner!/�.Yfi_�
By
Phone
State License
Approved
wilding Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Lee
Date ....... .................... 19 ......
7 ..... Bui ing Permit No.
'e
The Building.0 1 1 r-,
Located at - - - -------- ----- -- ----- - -
..........
Ownedby ...... . ................................................... ---------------
05� - /
A�a . - - - --------------
Has Been 4� e As:..._ . ...... ...................................
INSPECTOR.
luad / I 6/I7zm CHK 5r G
NO. STREET _ . . LOT NO. d
QTY OP CUPUTMO CITY OF CUPERTINO
Oer2412PLICATION FOR ELECTRICAL PERMIT
Date.P A 1 9 /J -4� 19 ja Permit No. yod.�3
Fee S G ('SS
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises SINGLE FAMILY RESIDENCE
Owner 5r1/yaft N/YNf3 Address
By Address
CONTRACTOR, AGENT Approe
ph.":Zoy —.577�
R;
State License.__ -01Oq/(
0C // < Gr
I�
Number
Number of
Size of
FEES
COT NO. Z-
h0. STREET A
CRY OF CuPei:fwa CITY OF CUPERTINO
wZ PPLICATION FOR PLUMBING PERMIT
AUG 3 0 197L
o Sanitary No.
-
0 0 a 19 Permit No
x °o Fee $"26 -so
,�. W Application is hereby 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
r and/or fixtures in accordance with the provisions of the Plumbing Code. of the City of
a W Cupertino, and all other laws applicable thereto.
w x
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a
J 4
00
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oa
ZJ
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Wi
W W
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d
Use of, Premises
GONTRACTOR,AGENT-
Phone�2-�J- O.rs 6
State License 171.5-37
Address Ie 25-9&' > Idt%r
i
Approved i'
C/
PLUMBINGdNSPECfOA
FIXTURES NUMBER MAIN DRAIN
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Date x_19
ishereby made for a permit to
a
to be occupied only as
Lot No.
2.3/
Sanitary No.
7945 tf
File No_. -2/�
,
Type
in accordat ct7e with Plot Plan, Plans and Splooffication filed herewith„
Estimated Value o4 Improvements $ -'? -? , 6tod. COQ
FEES 61 Pion Check $
Owner _
Coon,
Phone
Address
State License d & -!
Approved /
APPLICATION FOR ELECTRICAL PERMIT
Date ��nn�"� 19 FEE$ a 3�
Contr. (lRt_l Address 22' m 4,1, �
Phone —j;iL91— .C2 % State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 7 •L GAS FEES rl---
Approved
Applicants agree not to, violate any of the
Workman's Compensation Laws of the
State of California
PD -1
,� PLUMBING FEE $ .�
Contr.
Address
Phone
�y%—�.S
.i -z State License
�/7/�'�
Approved
�6 /�
APPLICATION FOR APPLIANCE PERMI�
Date
19
FEE$ t/I
Contr.
`& Address
Phone
ate %—TOSS
State License o?.i.
Approved
Applicants agree not to, violate any of the
Workman's Compensation Laws of the
State of California
PD -1
RECORD OF INSPECTION APPROVALS
BUILDING
E INSPECTOR
Ll
PAD FINAL V" �YZJ
FOUNDATION >
UNDERFLOOR
FRAME ~
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES - Do L ?'
MOTORS-
FINAL
OTORSFINAL _ 7"
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGHi
PARTIAL ROUGH
ROUGH COMPLETES�I-,
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE J
PLUMBING. GAS 8 APPLIANCE
DATE INSPECTOR "_
MISC.
-'2x'