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51167.1 Permit
a, 77- ' Lot No. Q/ No. Street APPLICATION FOR BUILDING PERMIT ` CITY OF CUPERTINO File No. Sanitary No. -r�' 9le Date r' G 196 L Application is hereby made for a permit to / S 7 lT a story, Type to be occupied only as in accordancl6ith plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ of dj Q V FEES Plan Chock $ Owner Address a d P .f_-ZL Contr. Address Phone end - /w-d State License Approved APPLICATION FOR ELECTRICAL PERMIT Data L{/� T" 196 17 FEES e)-b ' A. Contr. ���4- <d<.tR-r/ Address 9^2�' /�"''" - f Phone 73CO --551 State License - �'2 1,4Z Approved v APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE $ PLUMBING FEE $ 'J Contr. �� `t Address Phone o7�.S—2 3y2- 3 State License Approved �[-!tl/.11�.-i-<-<�'�-• 4� APPLICATION FOR APPLIANCE PERMIT Data �f1% �� FEES n Q�J/��' 1S Contr. /'—"-"-/ JN-'Q`J Address Phone �-37 P— Q y 3 State License �'T'Z f0� 2— Approved Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California ? , RECORD OF INSPECTION APPROVALS FOUNDATION ' 9-1 BUILDING Dote Ins e UNDERFLOOR - �� FRAME .0 C D e r ns peer � LATH & PLASTER Z 1 to ` s FINAL L �- C } Ins oactor ELECTRICAL ,OUTLETS SERVICE SI SWITCHES UNDERGROUND RECEPTACLES ROUGH WIRING Z Inspector D¢te Inspector FIXTURES FINISH WIRING - H.P. CHARGE FIXTURES 3 ate Inspector =e Inspector PERMIT FEE Motors �- Dote Ins pactor TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUG o? Dot for MAIN DRAIN FEE ROUGH COMPLET Da to or STORM DRAIN FEE MAIN DRAIN - D s WATER SYSTEM FEE GAS PIPING 9.a GAS PIPING FEE FINAL <' to 9 �1gor `Data Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC Date Inspector 1 L TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISCO ' GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Do to Inspector - ;;ROUTE SLIP File No Date Out Date In Location a: 2 i svb,ject Notes Approved 11—f-4 J Date Inspector CERTIFICATE - OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date .......—e..'......'......................... 19-4.4. . Building Permit No.�. 14.7 The Building Located at ..... Owned by ......14�..o;?J.7-72 ....................................................................................... Has Been (Completed) For Use As: ..... ................................................ .......................................................... .........I............ -------------- - ......I.................f............. ...................:............ ...... ........ ..................................... .................................................................................... ........ ...... .............................. ..........................;.............I............. ................. BUILDING INSPECTOR 102 12/66-1M OFFICE COPY ELECTRIC SERVICE NOTICE i BUILDING INSPECTOR'S OFFICE �y.:(.'u• `? CITY OF CUPERTINO ................. ... ..'. 5..._,...., lv6 . . To �� You are hereby auth ori\ 1 tt(l>nnect el ctrical service for I t.. Owner or Tenant �- At r ' No. of Wires ...... ........... Size of Wires ...... Size of Switch Motor Load .......................... Voltage ....._..........._. .......... Phase .......... ............ _. HeatingLoad ........................ K. W. ..._.............. ............._ Voltage ............. ..... .......... .. Light...... 11l./New Service.._�connec L......_.... No. of Meters..._...I.......... -" Heat................. 220...../Thr Wire.. ........... ove Service......... No. of Add. Meters............ , Power......:........ T Ph, ...........'.;:Move Meter-_......... RLECTRICAL INSPBCTON_ �—� GAS SERVICE NOTICE OFFICE' COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ......... 5?!...". /... ....... ............... 1964y To You are hereby, authorized to connect the GAS service for o Owner or Tenant .... . . . .. .......................................... At . . . . .................................... New Service ................. No. of Meters Reconnect ............................. Move Service ....................... No. of Add. Meters .............. Move Meter ............... ...... PLUMBING INSPECTOR Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. ©dumbing Final Plumbing Permit No. Lot No. ....- P9 ------- ---------- Owner or Tenant ....................... ......... Tract --------- Date Connected ...................... Date Final .......................... ................ ................. ,4L'UMBING INSPECTOR 111 12/66-1M