51167.3' Nb. Street Lot No.
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a \� APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
�� f DEC 16 1958 t' . Sanitary No.
Y -Date, • • _ , 1949- Permit No. J me 7
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r Application is hereby made to the City of Cupertino for a permit to install plumbing pipes
and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures
o in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other
'c laws applicable thereto.
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A A Use of Premises
° Owncr./.f� �./q/. / {f Address
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h RY Y'/f� _)f//y/��J1�/�A U) Address
3 r C'onfiiactor, Agent---%—
d ° Phone
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...i0.ii/ _c..,.,,r;,•,....a /�w.r%9 vn...,.__VJILLIAM r'. L-'.E'NEVICH
Plumbing Inspector
Water Heater
Water Softener I I II Material I I
To Curb
Floor Drain �� WA'
Horner Size
Water Svs. Fee
Lot No. �7
No. Stmt /I /e
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. SIIQeGnn�..�
� Sanitary No.
Date —i�C_(�196
A plication is hereby made for a permit to
an �o story, Type r��•1
to be occupied only as A a
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
_ QQ �
FEE$ / '+• 0 4) Plan Check $ A
Owner 10.4 a-rq Address LG.�,. •L•.
of
or
Cent,. Address /�
Phone S
2 •' J�iO State License � /7 91
Approved _Wit I_IaM n PcrH1 C\/If^I.1
APPLICATION FOR ELECTRICAL PERMIT,
Date ! 196 FEE$ .14'04 p
Contr. s� tt Address
Phone _ 7*3� •J ��� $tate License '�r12.9
Approved
v
APPLICATION �FOR PLUMBING & GAS PERMIT
Date -�z/�lC 196 y GAS FEE $ 0.J-0)
PLUMBING FEE $
Cant,. Address /23y
p
Phone r�Y-�J ' �3�-3 State License le(�6 �/
Approved WILLIAM D. bci41i;VIQ1I
APP I TION FOR APPLIANCE PERMIT
Date 196 FFct ? [�
Cantr. _ ~ Address —zap i•
s ��t�n;'r'"'
Phone State License
t
.Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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ROUTE SLIP
File No .,5"/,/K7-3
Date
Location
Subject;
Notes
Approved
Date Spector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... —
S- 4 —
......................................... 19_/:r... ................
Building Permit No.
Owned bLf
The Building Located at
-- ------ A . .... . ........................
......
................................. ...... . ................ - &Y--------7-
C1 )
Has Been' (Completed) For Use As: ................................... ...............................................
............................................ .. ..............................................................................
........................... .............................................................. ......................................................
....................................................................................... ---------- ...........
Y-/-------------
........... ................... --------------------------
BUILDING INSPECTOR
102 12/66-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY
CUPERI
P ,yq
....................�.(..'.'..y_v--... .. ..... . 196../.�/y+
To
You are hereby u ho z d o. n ct electrical service for
Owner or Tenant ..................... . .
/ ........... .._....
No. of Wires ......Qk.......... Size of ires
.....(.�.......
. ....:�.: .... Size of Switch'�'.T.!... ' ":-
Motor Load .........................'. Voltage ................................ Phose
HeatingLoad ........................ K. W. .................................. Voltage ..................--..........
Light............!....:- New Service... ...... K connect......No. of Meters..................
Heat................. 220....:.,./Thre Wire.......... ... ve Service..........
No. of Add. Meters.:..........
Power............... Th Phase .... ... ... ove Meter..............
.................... RI ......S P ECTOR ...... '
' P.LECTRICAL INSPECTOR
li GAS SERVICE NOTICE
orrtcr '
COPY
BUILDING INSPECTORS OFPICE
3 CITY OF CUPERTIN G
�.............................. 196./..
I o
You are hereby authorized to connect the GAS service for
Owner or Tenant ..... . ... ....:.. ....................:..................
...._.._..._...
New Service . ..............
No, of Meters ..../............ Reconnect '
Mose Scrvicc ......._._......... ..
No. of Add. Meters ..._......... Mode Meter ..........................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ..... .......
Rr'lPlumbing Final Plumbing Permit No.13-116��....
Lot No. gv,7
CW--- ......................
Owner or Tenant ..... ... . ... ...
At IMPIr 4�.
Tract ........... .. ..... .. ......
.......... ....................................................................
Date Connected ...................... ..✓.. . ......
................ ...........................................-.......... M&
Date Final .....................................
. ............................
--------------
PLUMBING INSPECTOR
111 12166.1M
- 'IAG�R EE'IaW ILL NOT'VIOLATE ANY OF THE WORKMEN 5
y^'1'�' COMPENS ATION LAWS OF THE STATE OF CALIFORNIA.
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IN
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ITEM NEW RPL FEES
Number of Outlets
Number of Switches 47)
Number of Receptacles
-Number of Fixtures a•
Ranges or Ovens K.W.
Size of Main Service ( FV 4
Number of Meters /
Number of Panels
Signs•Transformers
Dryers
MOtors:
H.P.Phase
H.P. Phase
Power Poles
Mige
Permit Fee 2.00
H.P.Charges
Total Fees
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