NO PERMIT NUMBER f
2 /A 4Xa
la 7 ��� Lot No.6
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
sanitary No. r3-73
Dote 196...-7
Application is hereby made for a permit to r -.7
a ,story, Type "r Z
to be occupied only as
in accordance wi Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements s 3G. O6d dm
FEES ,fOs Plan Checks
Owner &OfAll� jj!d6,kjSj9 Address OO
Contr. Address
Phone f Q 0 State License 9 e�
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 &P FEES 3 �, 76
Contr. Lila- -EZZL Address SEL
v
Phone __ 029 6 -it—d 7 .6 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date I 196 IL GAS FEE $ �3a
n_ PLUMBING FEE EE $ y cl ° 1r+
Contr. _`��'�✓�^-' v�""n Address d 2-
Phone
Phone - 3 7 Q State License _1.3 UC
Approved WILLIAM D. prrj4 V
IeI, -
y APPLICATION FOR APPLIANCE PERMIT
Dora 196 � //// FEES / 7, J Q�
Contr. ham'��j�/ , L1-ti_Q-Ld/11- 1h"`kddress
Phone - -f-Z/-2 6 0 S State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
O
RECORD OF INSPECTION APPROVALS
�7 BUILDING
FOUNDATION
OR
UNDERFLOOR 6 (8y
LATE INSPEC
FRAME PP
3 � DgIE IN SPECTO
LATH PLASTER
D A�J3E INSP OR
FINAL "
/I n DAT Fy. INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
INSPECTOR
ROUGH WIRING `�
qTE� INSPECTOR
FINISH WIRING Y �S/
C..� OA TE INSPECTOR
FIXTURES ` yv
DATE INSPECTOR
MOTORS �7
DATE/ INSPECTOR
FINAL yN
DATE I PECTOR
PLUMBING & GAS
UNDERGROUND
_ DATE SPECTOR
PARTIAL ROUGH C(�
OAT SPECTOR
ROUGH COMPLETE
DATE SPECTOR
MAIN DRAIN
E RECTOR
GAS PIPING _e�'
-/,r
/ TE SPECTOR
FINAL L
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE ' INSPECTOR
MISC
' G DATE 9PECTOR
MISC
/ DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY O/FpCUPERTINO
�� .� hd Building Permit No. 7v .7: 7----
Date ............"'.............................. 19........... p
,a r� a -..... r Y1 ` =t.t�l a wy .� .............
The Building Located at ..../.'.'.:.......... ............ .......... � j.................
i t o .f t =
Ownedby .t;1.1•..:...............r4!�-!".".:�........................................... ..... ...........................
Has Been (Completed) For Use As: ...... 1 4+ "��_ ...
..................................................................................................................................................
...-----------".....................................-------'--....,...........1 -----------------------------
t�.....!_..._.
BUILDING INSPECTOR
102 12/66-1M
OFFICE. COPY '
ELECTRIC SERVICE NOTICE
1. lJ7, BUILDING INSPECTOR'S OFFICE
�. CITY OF CUPERTINO
To
._..._...�..-..Y . ..... ....... 1969--
/
You are ereby ghbrized n c electrical service for
Owner or Tenant ...... ..... :: ...... .... . . ..........._..........,-` ....
At ..Z. ..Z.�. ..r....x.i. .��...y.. .. .
No, of Wires ... .. Size of Wires �..y�..---_ ......... Size of Switch
Motor Load .......................... Voltage _.. Phase
Heating Load ........................ K. W. .._............'.........._...... Voltage
/............_..._....._...... _
w� Light................ u0 ... N Senicr..._.F..., Reconnect—...
_.....__.
No. of Meters........(�i.:..
Heat................. 220..._�j... ee e..
No. of Add, Meters........-... '
Power............... ase.._.. ........ Move bfeter..............
EL
'c"'cAL INSPEm {y!JXl
OFFIC
GAS SERVICE NOTICE COPY'E
BUILDING INSPECTOR'S OFFICE
a— CITY OF CUPERTI�O.,
5 196.2-
................4.0... .
You are hereby authori2ed to connect the GAS service for
Owner or Tenant ... ...... . .. .... .
At ... ........ ... ..................
New Service ...........
No. of Meters ... Reconnect ... ........ .... .. ...
Move Service ..........
No. of Add. Meters ........ move Meter ..........
"�PLUMBING INSPECTOR
Bldg.-Dept.
Office Copy
li BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.
.5p.-Pfumbing Final Plumbing Permit No.J...—//.X7 .......
<
Lot --�
....................
✓
Owner or Tenant ---- --- ----- ---------------------------
0,
At
Tract -----------
#------------
--
---------
-Z ------------------ -------- ----
--
Date Connected ........................ -- - ---------- 19-4---4P--
'
-- - ------------------------- / C>,
DateFinal ............................... ...............------------------------ 196--J-----
,�/PLUMBING OR
-------------------
111 12/66-1M
ROUTE SLIP
File No. S 7�
Date Out
/ Date In -V--X 2
Location n
Sub j ec.t. �\ o
Notes
Appro'ved''
Date Inspector