51248.1No. Street
Lot No.
CITY OF CUPERTINO
XI
°R °f ct'rarnro APPLICATION FOR BUILDING PERMIT /
.SAAY
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Sanitary No. % ep
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, 19 _
Permit No.
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ca is hereby made for permit to�p�=0—�'�
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a story, Type
[J Building
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to be occupied only as
—in accordance with
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Plans, Specifications and Plot-Plan Ald herewith
PI CkCk Fee
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Estimated Value Improvements, S
s
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of �Uv` Fee E
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
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all other laws applicable to the construction, location, and use of buildings within the City of
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Cupwill be com d with.
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Own Own
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BY
Address
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Phone
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Approve
State License
ng Inspector
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N <Ia / l� -5t1?J STA
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z �M OF CUPERTINO
3AUG 7197?
3
LOT NO. 6—
CITY OF 'CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
plate, r) AUG 7 1972 19 _ Permit No.
Fee��_
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 Address.---
By
ddress---gy ZEE ELECTRIC Address x s. G° -
CONTRACTOR, AGENT Approved
Phone: ���L7 �/� ELECTRICAL ECTM
WState License���X6 1WK,,
rrEM 1 NEW I RPL 1FEES
Number
Number
Size of Main Service Vw/f1 I /.&U
NO. / STREET
CITY OF CUPERTINO
LOT NO. 1/
Iq
w Z cRr of cupanotcPPLICATION FOR PLUMBING PERMIT
s o . 1UAt Sanitary NO.
Y J 71972 y
01
llate 19 2 Permit No aCz? je%�
i a _ I n / Fee $s_Sa
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said rices
> r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
i. w Cupertino, and all other .laws applicable thereto.
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F r
LL Use of Premises
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00
3 Owner Address/0.3O t tri (ta ' / �oTdti
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By
O CONTRACTOR,AGENT
3aye- ossre
— Z Phone
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oState License �S3
u
Address 6-2-5' " k
Approved j'
Ix\ PLUMBING INSPECTOR
•
Water
Size
To
Size
L QS -!2_J 00,X _- LO7 NO.
No. STREET
Y i Crry pp CUPERTINO CITY OF CUPERVNO
v Z . APPLICATION FOR APPLIANCE PERMIT
W1 OCT j jP1
LL
c :i Date �� 19 _ Permit No.
d� i'' A 1 n Feef
o Application is hereby rade to the City of Cupertino for a permit to
LLo ` install gas appliances as listed on the reverse side hereof, and agrees to
iN install said appliances in accordance with the provisions of the Plumbing
Y = Code of the City of Cupertino, and all other laws applicable thereto.
3 b Use of Premises +«- GRfC9
00
$ay
Owner �4��1� ��5 Address �x�--0 A41y-s`y+'
z By Aug � Alet Address f�'�1
o �CONTRACTOR, A ENT _
- Z Phone
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Y
oState License Approve
—t] PLUMBING INSPECTOR
APPLL4NCE
Ovens
Forced
Smoke Stacks. Misc. Eouio. II 1
Comfort Cooling
Comp. of 20 HP or less
of 500.001 & Under 1.000.000 II 1
Total
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Daze .......-`...... "' ..........
Building Pelt No. 4 .�
The Building LocWed at
Owned by
Has Been or Use
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.-
LDG._
C,.)040- C.A--
t%Fay/--
UNDERGROUND
UNDERGROUND R
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
,
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
J
6 ELECTRICAL
DATE INSPEQIOR
BACK FLOW REO._
SANITARY NO.
UNDERGROUND ROUG
PARTIAL ROUGH_
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. 3
FINAL GAS I/
FINAL APPLIANCE
PLUMBING, GAS 8& APPLIANCE
DATE INSPECTOR _
7�
—73
INS
No.
Lot No.
Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
. Sanitary
IDo tem"-I-?—,9'7-,2:L-
Application
oLLLri«_!_L19
Application is hereby made for a permit to
to be occupied only as
a
in accordance wt7h Plot Plan, Plans and
Estimated Value of Improvements $
to to
FEES Plan Checkk'$
Owner Address L
Contr. �J Address
Phone �2� l 3 y/ State Licenpa
APPLICATION FOR ELECTRICAL PERMIT
Date / 19 i L FEES
C ontr.' / n \ D._1J J Address �) XJ
Phone ��'� �o ^�$� i (� State License c
File N
,3 /
filed herewith.
-Lf
Approved
APPLICATION FOR PLUMBING & GAS (PERMIT
Dote � 19 �sa— GAS FEE $ (;/ J
PLUMBING FEE $te`
Contr. Address 4 a-
Pqqf
Phone — T, - O S f1; State License
Approved —
APfLICATION FOR APPLIANCE
Data �A/j�� 1�9 vY FEE$
Cont'. tlt...s-e�Cl Address
Phone —�' % 7C SZ State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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