NO PERMIT NUMBER oZ/ 7/ 6 — A& Lot No.
No. Street /� O 9j
APPLICATION FOWBUILDING PERMIT
CITY OF CUPERTINO
File No. %17/ri r
Dote As, 196
Sanitary No. -r.2S-1)S
�d
. � -
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordan&kith Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements E e2 -A, O O U d`
FEE$ G 9. d_"
�y .� /� Plan Check E ,y
Owner � Co"-- t.�i� Address, 1 Z 1 ! /C�L
Contr. Address
Phone a?S' 7- o/l O Stoto Li<anse #* r/ 74
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 2 196. / FEE$ _ o9-IS- /.,,S/K-s��tn n Jr
Contr. _X/ X/ !.!!/ � i-. l Address Qol / /c-sl' C.
Phone 7.� S�X.�-/ State License r/7/-1-'-/ 2 /v//
Approved L .n.et le
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 0 / 196 72 GAS FEE $
PLUMBING FEE $
Contr. � � V �y'"�j� Address
Phone — '2 State License // ,P/, p
Approved
APPLICATION FOR APPLIANCE PERMIJ
Date
/0 APPLICATION
196 7FEES
Contr. Address e-�y
Phone - 37.Y—O 9 ,3 V State License
Applicants agree not to violate any of the
VVorkman's Compensation Laws of the
hate of California
- — v
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE IN SPEC OR
UNDERFLOOR — ,b
DATE INSPT R
_-
FRAME 6f
pE NSP
ATH PLASTER 6
_ rTE N R
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DAT INSPECTOR
ROUGH WIRING '
�Q DA E INSPECTOR
FINISH WIRING •� _
DAT INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
2 ATF INSPECTOR
r i
FINAL apy
GATE INSPECTOR
PLUMBING & GAS
UNDERGROUND ISPECTIOR
OR
_ DATE _
PARTIAL ROUGH COR
/DAryTE
ROUGH COMPLETE Z-1-'G� OR
DATE
MAIN DRAIN �' y6
GAS PIPING 6 TEOR
pATEFINAL 1/DATE OR
MISC DATE INSPECTOR
MISC DATE INSPECTOR
APPLIANCE
INSPECTED DATE INSPECTOR
MISC
DATE INSPECTOR '
MISCDATE PECTOR
If
Mlsc - -
DATE INSPECTOR
ROUTE 'SLI P
File No .,5-W 2 I
Date 3 -.77- 6 �
Location ka-
Subject f-,,�t can, i
Notes
Approved 3 -.27-Ir r4mw
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .. �!..^.. -.............................. 19./6f.... Building Permit
/No.1E!Y.17.:.
The Building Located at .v2..1.7�.t1......... a Y 1!•.rx�. `f�...`S ...
Ownedby .... .{_a ........ .��......-�......... ............................................. ,...a. .... �4 ...
(Completed)
HasBeen _\\F`�or_�Use As: ......:�...r--, •..........A...............................................
....................................( IW it C�Cc r.�a �.. i
..................................................................................................................................................
- ........................ ............ .....................
1 BUILDING INSPECTOR
ft 102 12/66-1M
OF CE COPY
ELECTRIC SERVICE NOTICE
„//. BUILDING INSPECTOR'S OFFICE
O CITY OF NO
.. _ -a a ... . .....
To
You are hereby
n au .oey o c tin ct electrical service for
Owner or Tenant ........
..:: a..' .��/�(_;( ........---._._....... .. . ..
At .. ...�..1 L (�.......�5 ti;Z3u ....s�............ _.__..
No. of.Wires ._ ............... Size of Wires`. .'�.?..�, _`.. Size of Switch l octpi..
MotorLoad .......................... Voltage .................. ............. Phase ........................... .. .--
HeatingLoad ........................ K. W. .................................. Vol a ............ ...
Light......... I70._� N Service
No. of Meters....................
Heat................. 220.......y/ ree ire. _ .._.... Move Service......... .
No. of Add. Meters............
Power—............ h hase.... .. ...... Move Meter..............
•.w...... %C.,
.............. ..... ......... ..........C .. .. ...
P.LRCTRICAL INSPECTOR
GAS SERVICE NOTICE OFFICE"
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.............. ' - G........,..,................., 196.0p,
To
You are hereby authorized to connect the GAS service for
Owner or Tenant 7- .... .. ....... ...:...... . ......
`�9 1
At cm.1-,71
. ............................
New Service ---�
..........................
No. of Meters .... .... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
.............
PLUMBING INSPECTOR
•
13idg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. . --}}///y(
2--flumbing Final Plumbing Permit No--�7j4zl......
Lot No. ....(0/0..................
Owner or Tenant 1
At ......
.. .. ........
Tract ..........
. .... .....
Date Connected ....................../ —.5
. ... ...............................
7................................
Date Final ............................
4?VVI�......................................................... 19(pa......
..........I...........................................................
PLUMBING INSPECTOR
111 12/66-1M
• Y I
ROUTE SLIP
File No.
Date Out
/ Date In
Location �o
Subject. � � ,� ( y03• `//
Notes
Approved'/ z- 7 - 7 T
Date Inspector