NO PERMIT NUMBERLot No. 1 -
No. Street - I // V 5
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.'s /ZG
Sanitary No. r c/'vj`
Data 196 Af
^Application is hereby made for a permit to
to be occupied only as
story, Type J- l I.
in accordincvth Plot plan, Plans and Specification filed herewith„
Estimated Value of Improvements s sgglL-r A G d
FEES �.Cf. d0
Owner A&Z eA,�
Cf
Contr.
Plan Check $
Address -7.2 9
V
Address
Phone -AS-7-///0 State License /t -/:z I/
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date � 196 FEES C.+ / n
Contr, y`1 . -t�, &AW /fA 2f Address / a s �C.(�Q� A/
Phone ���!i '� 3i'�?Jr State License
WILLIAM D. EIENEVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT /
Date / 196 GAS FEE $
//CC
^^..�//� PLUMBING FEE $ �-;-,S
Contr. - 62L .J Address
Phone `2 5,45-,S- State License
Approved WILLIAM y'1 Rennrvrr�r
APPLICATION FOR APPLIANCE PERMIT
Dote 1% FEES Y//f /d'�LJ
Contr. Address �13d
Phone Prate License L 6 L
n
Approved WILLIAM D. 3ENEVICH
Applicants agree not to violate any of the`.
Workman's Compensation Laws of the l;
State of Califomia r.
ELECT.
UNDERG
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FINISH V
FIXTURI
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FINAL _
ELECTRICAL
117
IN
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DATE
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RECORD OF INSPECTION APPROVALS`
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DATE
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ELECT.
UNDERG
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FINISH V
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FINAL _
ELECTRICAL
117
IN
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SERVICE
DATE
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DATE
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INSPECTOR
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DATE
INSPECTOR
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IRING
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DATECYCYII
INSPECTOR
DAT
INSPECTOR
DATE INSPECTOR
i
PLUMBING& GAS
GH
DATE
TIAL ROUGH
SPECTOR
DATE
COMPLETE
1 SPECTOR
DA
DRAIN - -S
INSPECTOR
DATE
INSPECTOR
/� A E
�7
MSP CTOR
DATE
INSPECTOR
DATE
INSPECTOR
UNDERGROUND
PAR
ROU
MAIN
GAS
PIPING—
FINAL
MISC
MISC
DATE
INSPECTOR
APPLI E
INSPECTED / 'A�-(e
DATE I i IN
wcr
DATE
INSPECTOR
DATE I E INSPECTOR
DATE
INSPECTOR
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
............. F.7 -0u.................... ............ 196ff
TO
You are hereby authorized to connect the GAS service for
Owner or Tenant .... . . ...
At-ZA8-67 ................... .. .. .. .... ......... �': ...... ........................................
Ne;v Service ..........................
No. of Meters ......../.......... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move M ter
.... ck
.......... .............. .... ..... .. .......... ...........
PLUMBING INSP CE
ROUTE. S` LIP
File No". --dr?-
r?-
Date
Location�i/f� y 2--l'/091
!2 , 21„ �3
SubjectQQ p ,
Notes
Approved I'_1-4 0
Date In6,pdctor
CERTIFICAYE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..._-a.... .................... 19. /
.. Building Permit No."I.A621
The Building Located at .... . �.4 ........ ; ............
...................
4 . ...............
.......... ..... ...
Owned by .... -----------
Has Been (Completef?For Use As: ........... ............. --------------
4Akered)—
....................................................................................... .......... ..................
:::Z-: - ---- ---------
Q - k.40
....................... ................................................
BUILDING INSPECTOR
102 12/664M
CE COPY
ELECTRIC-
BUILDING
SERVICE NOTICE
INSPECTOR'S OFFICE
CITY
OF CU P E R T I N 0
TO
You are hereby arvice for
Owner or Tenant .....
At ...... (:2- t. S�- -I
No. of Wires ..... � ....... .... Size of Wires ... ........ Size of Switch
MotorLoad ...........................Voltage .................. ............. Phase ...............................--
Heating
..... ..................Heating Load ........................ K. W . .................................. Voltage ........ I ...............
No. o f Meters.................. Lig New Service_.,�< nnect .................
2'2"O".,-.� Three
No. of Add. Meter, h'
Power ............... hasc
F.LCTRICL INSPECTO
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit, No. -�6.1
9,e ...........
el"Plumbing Final Plumbing I Permit No. Z./
LotNo - --------- ..................
Owner or Tenant ....pi-.. ....... ....
At -----
Tract .......................
........................
Date Connected
..................... ..
.....
Date Final . ................Q-.... -2,----
�w I ill
-------------
111 12/66 -IM I
PLUMBING INSPECTOR