NO PERMIT NUMBERNo.
0.. 1, . Lot No.ca_
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APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.SI/(e % 5
Sanitary No. 4C 0 lV
/
Dote 3 196 a
Application is hereby made for a permit to
to be occupied only as
a / story, Type �5_ L✓
in accordan(/with plot Plan, plans and Specification filed herewith.
Estimated Value of improvements § o2'OY d 0 0 08
FEE$
e
FEES ex.'s --a
Ow r.er
Contr.
Plan Check $
Address
Address SL
Phone --
///Or
GAS FEE $
PLUMBING FEE $ --2.6-
State License
Address /y 3
Phone y-
.Z�cz�
Approved WILLIAM D. SF-NF-VICH
•• VYI LIAM D. EV
/'� APPLICATION FOR ELECTRICAL PERMIT
�d/
Date / 196 IVFEE$ (a/• O�
Cont,.- /me' • ,,cO Address
q
Phone - / 3� State License
Approved WILLIAM D. BENEVICIJ
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 If
GAS FEE $
PLUMBING FEE $ --2.6-
Q�
Contr. �4�2-,-.•--% �h�WSc
Address /y 3
Phone y-
State License - l 6 J 7 %
Approved WILLIAI✓1 D. BIINEVIC54
APP KATION FOR
Date 196
Contr. �'le^O
APPLIANCE PERMIT ry i
FEE$
ss /��% Q ' �/rn
Address y ly'{��'
Phone _
State License
Approved
Applicants_ agree not to violate any of the
Workman's Compensation Laws of the
State of California
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OFFICE COPY
b-� CITY OF CUPERTINO
ELECTRIC LECTRIC SERVICE NOTICE
. .. ............... ...... ........... 1 194..
You are hereby a.utha&i`5fj to c9rhect electrical service for
Owner or Tenant ...... .... ... . .......... ..............
. ......... . .. .
At............. t. P.C1. .... ..... .................. ....... .........
No. of Wires _.� ............ f o
Size fres .... �*I<Size of Switch !Sp.Ar___
Size of
Motor Load .......................... Voltage ............ ....... _ ........ Phase .................. ..........
HeatingLoad .............. .......... K. W . .................................. voltage ................................
Light ................ uo... ......... New ecvice_11c,onne . ...........
No. of Meters ....................
Heat_ - r
No. of Add. Meters............
�Power. .... ...... p I.
INIP"".
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......:.1...- .1 .. ................. 19.r g-- Building Permit No.`Vikl..- -
The Building Located at:::......... :.......
Ownedby ........'................. ........... l !..-.....1..... ` -
(Completed)
Has Been For Use As: . ................
.............................................. . .....-",jJ.W......
........................................................................
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.................... J . ..... 1-4 ... - ..........
TO
You are hereby o
t
r o
aytq
uor to
Owner or Tenant
At........
No. of Wires ....... Siz�
electrical service for
- ...........................nn......
........Y...... Size of Switch
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W . .................................. Voltage ................................
11
No. of Meters........:. 110 New Semi'
Lig Move
No. of Add. 220 Th� ire em
Power ...............
T has .. ........... Move eter .............
...... ............
........ ... W : .... ...... ............... .....
BLECTMIUCAL IN 0
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO/
.................. —(ZI.. . ......... ....... ........ 196.
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
........... --- ........ .........
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
r-1 Sewer Connection Sanitary Permit No. —4�01j --------
L2,'Plumbing Final Plumbing Permit No.
LotNo............ -----------------
Owner or Tenant ......6z . .....................................................
At
Tract
......................................................................
Date Connected ............................,W
Final ..
114
Date Fin .............................
....... ................................................. 1949..
PLUMBING INSPECTOR
111 12/66 -IM