51071O. & S E
W
® ION FOR GAS
PERMIT
OF CUPERTINQ
z,fAU 12 1965 _ �fnJF
W Q
T o
0 U ri 196 - Pet i v d '1'
W I Fee S /so
° Application is hereby made to the City of Cupertino for a permit to ins7aan gas pipes
`o and/0r gas appliances as listed on the reverse side hereof, and agrees to install said pipes
0 and/or appliances in ordance with the provisi the Plumbing Co dem h
i w of Cupertino, and a nth r laweypplicablhereto.
Use of Premises
0 0
of Appliance I Units Fees I New
NAME TYPE
HOUSE GAS 7PING
Number of Outlets I 11� Size of Main
Gas Piping Fees
Tested and Approved ............ ........_..,._:.._.......... ....._...........
_.......
DATE INSPECTOR
y5E
3/ / 'NO. ' STREET
® FOR
Sa
U
W W
BUILDING PERMIT
OF CUPERTINO
�AU 2 19 utwq's`o.�
Date 196-5 Pe%% 1067/
F 0
o rca i is hkbfrlfltl>! permi
� ,1 lVrlUJff''�LRR 11 •
i U)a rY, Type
to be occupied only as
2. Plans, Specifications and Plot -Plan filed her
Estimated Value of Improvements, $
tT
f„ L' mee ;-�
in"Mordance with
Pl Ck Fee
Fez $
iJ It is hereby agreed that the requirements of the Cupertino Build' and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use uildi s within the City of
0 Cupertino will be complied with.
3 < S/ C !///l
— N Owner XC3!/�P/SJ//YeSddress
W
a
By
IC, uj/—' NAUe,v OD OL S' Addres L' >F,
us
hone, �2% /,j6 D
'
Appr
-- — State-License-X--?30-/� /r.3- — —_._ BUILDING INSee
C
W CA+PPM AX7X rft)R P
z d CI P CU.
w
E R fAUG 12 1965
Y 0
0 Date 196_
w CITY OF CUPERTINO
=o
� Application is hereby made to the Cit}' of C
`o pipes and/or fixtures listed on the reverse Sid
> : and/or fixtures in - dance with the pro'
.16T
w Cupertino, and oth r laws applicable tNl
w=
4 Use of Premises
00
3 Owner -M Y /JRS �N�ST/flv
oa
zJ
J z By ,[8�i1G' WIJ4-AV ,°od,cS
J 0
3
rn,
NTRACTOR, AGENT
0e License X �30y
io for a permit to install plumbing
f, and agrees to install said prices
the Plumbing Code he City of
�s�L
Water Heate
Sewer
Valves
UNITSI FEES
RECORD OF INSPECTION ti
Underground Rough
Partial Rough
Rough Complete
Main Drain
Final
G&JILA-1,
"=(� "`-"�. Lot No. O
No. I Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dote~ 196/
lication is hereby made for a permit -t-o-, p
a
V w�
to be accapied only as � % 1 � � \ t
File No. 10
71
Sanitary
Type
in accordance with Plot Plan, Plans and Specification fil d erewith„
Estimated -Value of Improvements $
FEES ((�� • ��—� Plan Check $
Owner 1\ 1 Taxi Jas. 53 /�. �� Address
APPLICATION FOR ELECTRICAL PERMIT
c,/�
Date — 196 � FEE$
Contr. tyt&CZJ Address 16/ LX -P /16 21 `✓ (
„
Phone 7/ -
State License/'a./.3 67&fT
. Approved (^//�//��Q�'•n�rr�c,.Cl
PPLI`CA/TION F,?.R�PLUMBING & GAS PERMIT
Date "� v 196•"y GAS FEE E
PLUMBING FEF $ -
Contr.dress
Phone State License
� Approved — 7L=::��
APR APPLIANCE PERMIT I
Data 196 FEES
Contr, dd ress
Phone L(✓a - 13 Irl State License 1
Approved
Applicants agree not to violate any of the 2
Workman's Compensation Laws of the
State of California
r
RECO D OF INSPECTION PROVALk
t"Ovt fif/.moi BUIL`bl �LS
F NDA ION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH 8 PLASTER
D t Inspector
FINAL
Dote Insoector
ELECTRICAL
UNDERGROUND-.31"./—._fri
I SIZE
Issn
.OUTLETS
STORM DRAIN
p
SWITCHES
Inspector
ROUGH WIRING
RECEPTACLES
Date
FIXTURES
ppt'
O
H.P. CHARGE
FINISH WIRING
5
PERMIT FEE
STORM DRAIN FEE 0"�
d -a
TOTAL FEES
a
Ins ctor
ELECTRICAL
UNDERGROUND-.31"./—._fri
I SIZE
Issn
TYPE OF APPLIANCE
STORM DRAIN
Do to
I LIMTERIAL
Inspector
ROUGH WIRING
REGISTERS
Date
Inspector
ppt'
ROUGH COMPLETE
Inspector
FINISH WIRING
Date
Inspector
STORM DRAIN FEE 0"�
'MAIN DRAIN
MISC
Ins ctor
FIXTURES-
WATER SYSTEM FEE
GAS PIPI G
MISC
)ate
Inspector
Inspector -
Motors
PERMIT FEE
Date
J
2n"1
toLector
�
MISC
FINAL
Date
nspactor
TOTAL FEE
Date Inspector
PLUMBING & GAS
MAIN DRAIN
I SIZE
I I MATERIAL
TYPE OF APPLIANCE
STORM DRAIN
I SIZE
I LIMTERIAL
FIXTURE FEE
WATER SYSTEM
SIZE
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
UNDERGROUND? --?3 -CS
CIRCULATING HEATERS
FIXTURE FEE
PARTIAL ROUGH
REGISTERS
Date
Inspector
MAIN DRAIN FEE
ROUGH COMPLETE
COMBUSTION VENT
•
Date
Inspector
STORM DRAIN FEE 0"�
'MAIN DRAIN
MISC
D&7,!
jfaL
WATER SYSTEM FEE
GAS PIPI G
MISC
Dote
Inspector
GAS PIPING FEE
FINAL
PERMIT FEE
Date
Inspector
PERMIT FEE
MISC
Date
nspactor
TOTAL FEE
MISC
Were ins pe .,or
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
INSPECTED
GAS SERVICE NOTICE OFFICE
COPY
BUILDING -,INSPECTOR'S OFFICE
CITY OF CUPERTIN
..................................... ... ...... ...... 941Z
To
You are hereby authorized to connect the GAS service for
Tell nt ......... . ..... . .... .
At........ P� ...........
New Service ..........................
Reconnect ..............................
Move Service ........................
No. of Add. Meters .......... . . Al / Movj Meter .................
Ito 6/63.500