NO PERMIT NUMBERNo. � Street • '
Lot
wQ
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO Q
File No.
Sanitary No.
Date-� 196
App^:cation is hereby made for a permit to
to be occupied only as
in accordance
Estimated Value of Improvements
FEE$ �7
Owner 2Z&-4
Contr
In
Type *S_ Z J
)t Plan, Plans and Specification filed herewith,
$ C-2-Saoa d0
Plan Check $
Address % �• A
Address
Phone 1 ua -%`! (O
State License
c2,S-1
4 a Fe—
Approved
l
�
APPLICATION FOR ELECTRICAL PERMIT
Date 196 8 FEE$ 02 b. a 3
Contr. _ �� J Address -. 9o2".S�/�-�.:i FSC f
Phone - 7j 6 -S5c�l/ State License
Approved ` - �=h-�-•D--""�/sem
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 196 (f GAS FEE $
p _ n PLUMBING FEE $
Cont', _�C. K�-� Address
Phone — �- `1 C�/ — G 3 .( State License7/5,3 7 `
Approved CJS �J
APPLICATION FOR APPLIANCE PERMIT
Date �/� n 196,,FEE$ ��• 3--V
Cont', """^Adgress
Phone -G O k State License //d
Approved
Applicants agree not to violate any of the /�6G
Workman's Compensation Latvs,of the
State of California "
RECORD OF INSPECTION APPROVALS'
BUILDING
n
FINAL
ELECT. SERVICE
UNDERGROUND-
ROUGH
NDERGROUND_ROUGH WIRING '
FINISH WIRING —
FIXTURES
MOTORS
FINAL
UNDI
PARI
ROUC
MAIN
GAS
FINA
MISC
MISC
DATE INSPECTOR
ELECTRICAL
DATE 1. INSPECTOR
PLUMBING & GAS
!RGROUND
_DA ZS
'IAL ROUGH IJf�
- PECTOR y `
_ DNT�
H COMPLETE ((��.•//
INSPECTOR
DATE
DRAIN
PECTOR
-IPING fC0_�G/
INSPECTOR
> /FOA TE
L b
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
APPLIANCE
imam.. 1 w"
INSPECTED
DATE
INSPECTOR
MISC
DATE
INSPECTOR
MISC
DATE �
ECTOR
MISC
DATE
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... .................. 141 --- Building Permit
....................
The Building Located .. ..... ..
&—kp-4
Owned by ---- ---- - ............................................................. L.._...1.--------- --
(Completed) Been (Completed)
(Alterod.) For Use As:.......:._----_....---........................................................
...................................................... ..., mll, ...............................................
......................................................... ------- A ..........................
BUILDING INSPECTOR
102 12/66 -IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
Vv I CITY OF CUPERTINO
....... 196 ... ..
TO
You are hereby authiz o connect qeqrical service for
Owner or Tena.— ............. ttzltmA(—�E't,e,4
At- ....... ..
..............
4 , , - -- . .. ....... ......
No. of Wires .... Wires ..........ice... Size of ... -------- ........ Size of Switch (300 -
Motor Load ------------------------ .- Voltage ................... -- .... .. . Phase .... ..
Heat % ing Load ......................... K. W. ............ .. .... Voltage .........
No. ofN.Meters-.-: ... ....... ��,w senlict Reconnect -
220........... -� �Ijhhrla service---..
IN f "d �H
0.0 elt,
Power ............ T P love
........... .................. I .............
ELECTRICAL INSPECTOR/
Bldg. i>ept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No.. --5—
E3/Plumbing Final Plumbing Permit No..-.�1f 9..2......
Owner or Tenant
Tract ...........4.,
Date Connected ...
Date Final -----------
111 12/664M
19 -
PLUMBING INSPECTOR
- i
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIV
OFFICE
COM,
19a''
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .... U
At.........
....................................
New Service
No. of Meters Reconnect .......... .. ................
Move Service .. ........ ..
No. of Add. Meters ..... ........ " e r Mete ....................
4PLUMBING INSP,TOR
ROUTE SLIP
File No. S// 9 3 -
Date
Location
!yam ��RJ
Subject (7� -A-
Notes
Approved �- � - C O e
Date:InsectfbiY