NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. p�
/ File No.
Do to 196
Application is hereby made for a permit to
_ a story, Type s
to be occupied only as
in accordance with plot Plan, Plans and Speck'catiorqiled herewith. /
Estimated Value of Improvements f �qpd a
FEES sfTm—n Plan Check $
nK!!__
Ower
/� Z �(fj Cdress A _,., /�
Conte _ �^ 'moo tv/ Address IK�.O e4) q. '
Phone `'? / �� Dr O d State License/ diaree P�
Approved LA/dAVSA�/
r
APPLICATION FOR ELECTRICAL PERMIT
� qq
Date S �'`� 19966 / d FEES
Cont,, Address S,4 V-u
Phone — 1=9'9 oZ .F 7 / Sl State License a Jr'
Approved
// APPLICATION FOR PLUMBING 8, GAS PERMIT
Date b 196 76 GAS FEE $
PLUMBING FEE $ �•a�
Contr. �--v-C L Address C;P-c'
Phone -- 02 S~"� ��
State License nse `t--� �'�•d 7 0/J
Approved61
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Conte Address
Phone State License
•1 Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California _
RECORD OF .INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL,
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTQR MISC.
UNDERGROUN �1
ROUGH WIRING •^` O
FINISHED WIRING / V
FIXTURES ' �V
MOTORS—
FINAL—
OTORS FINAL '
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE --7 - 7— • s
F7tt10'DRA D7�
FINAL PLBG. ( To
PIFTA'C'GAS���
FINAL APPLIANCE 0
DATE INSPECTOR MISC.
MISC
MISC
MISC
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PG&E COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
To
You are he authorized to conpect&1ec icaQ for
Owner or Tenant .... . ....
At ...........
No. of Wires ............. Size of Wires
I Motor Load .......................... Voltage .................. ............ Phase .................................
Heating Load ........................ K. W. .........__....___........... Voltage ........—.... ........
No. of Meters.................... Light..... .... 110...... h".11nect...........
Heat........ .... 220 -XI
No. of Add Aeters..... ...... h Xlc,,e
borer. .... 4h Alwt. Moe
E LECTMCAL I 'S'F Sr"'T,
-T
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
To
You are her orized to co
, �, ,oth Lv
Owner or Tenant .... ......!�.
. ....... ... ...... .......
At .........
................ ................. .- .......
No. of Wires ........................ Size of Wires
Motor Load . ................... Voltage ............ ............
.. Phase .............
Heating Load ...:.................... K. W. ........................ Voltage
Light.........._.... Ito......._...
No. of Meters.............. ...... Sell 11-�Tj
No. of Add Heat............. 220.. ire
semc,....
171 F(TR!rAL INSPFC101
<i3sj
/BOG 3 J'rpic/P 1�i.4$i LOT NO.
No. STREET
IION FOR BUILDING PERMIT
s ° m CI � QE CUPERTINO
Y
G Q 5anita YV' NO.
3 �'i/D�
I LL Urate /�� Permit No.
° / L'avJr,�ic�-
4 Application is hereby made for a permit to
oa CC
aN a �.'sCoryD Building
to be occupied only as �7iC .(/ A .SttJlc'6 in accordance with
a
0 o plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
' O v
Estimated Value of Improvements,$ 700° Fee$ J'
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
j Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied��w77itthyh�. //�����,.� �i
3 T�i4/V(ee Act 22r/ L Address At �T1Ut�Gt�
— N
Owner -
ByhIO' Address /F�o Gtr �ah i/ lilt'
37040_U Phone—
State
hnne rove
tL_ State LicenseD9J�o�a o�� pP
C Bl .DING INSPF.CI'OR
/O 0 1 I / LOT NO.
NO. STREET
APPLICATION
� FOR PLUMBING PERMIT
'w i ® CITY OF CUPERTINO
r o Sanitary No.
j
30 a 1911 Permit No
i a Fee
" 0
IC
i I ereb made to the Cit of Cupertino fora permit to install plumbing
o a Ppcs �ni0ji fi ��t,J)e reverse side hereof, and arees to install said prices
i N and/or fixtures m ac'n h the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
wx
LL Use of Premises
00
sa Owner/—RR40eL9Ratiae /006 ,3 ,S'pic'k' L'UA
Address_
zJ y�
Jz By ANZA / �ri/9/�iNq AddresszOG3 6 C4,4,� cT
3
CONTRACTOR, AGENT�
Phone
w z
ao State License 2SCo7 6 Approved `-�`T--���j(/
- PLUMBING INSPECTOR � /
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