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51187 Building Application �-.3 n1Y "' _ ��� Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. 5 V0 �/ Sanitary No. • O Date Ono 196 ` lv/ Application is her by made for a permit to v a 02, story, Type . to be occupied only as � , in accordance with Plot Plan, Plans a pecification fed herewith. Estimated V11 alue of Improve menta f a 9,, ono 0 FEE$ Plan Check $ - yA Owner VLI��-1a _ Address 0400 Contr. Address Phone O S—,2 �' �-���� State License Approved WILLIAM D. BENEVICH APPLICATION FOR ELECTRICAL PERMIT .� Date I 196 � � FEES c,2'1�- 0 d Conti. - Address 7�?—f—� ✓ T� el Phone / 3 (> — J �'Z/ State License Z f� L LL VVILLIAM D. BENEVIC14 Approved APPLICATION FOR PLUMBING & GAS PERMIT �✓ Dare �- /�- 196 u GAS FEE E �s > p PLUMBING FEE $ Contr. _ gr^-.cp Address _1.2a K Phone o2'W6 'cP 3e7.3 State License �rJ\ Approved Dare / 19 APPLICATION FOR APPLIANCE PERMIT /� N FEES 4 /J/� Contr. Address State License �LL VALL1.'UA D. E3ENEViCH u,.^g Approved Applicants agree not to violate any,of, the Workman's Compensation Laws of the State of California '�?- RECORD OF INSPECTIF N A R6V6P- 6 FouHo TIDN _- UILDING UNDERFLOOR g.� Insp 1 ote p nspecto� FRAME f D Spector AT � PLASTER I Dote Ins c FINAL C_ Data Inspector ELECTRICAL ,OUTLETS SE VICE SIZ SWITCHES UNDERGROUND to nspector RECEPTACLES ROUGH WIRING o Inspector FIXTURES FINISH WIRING O .(1a Inspector H.P. CHARGE FIXTURES Date Inspector PERMIT FEE Motors ata I Spector TOTAL FEES FINAL D' I 0 Data Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL f , WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES . UNDERGROUND FIXTURE FEE PARTIAL ROUGH MD MAIN DRAIN FEE ROUGH COMP LE STORM DRAIN FEE MAIN DRAIN rtorWATER SYSTEM FEE GAS PI INGorGAS PIPING FEE - FINAL torPERMIT FEE MISC tor TOTAL FEE - MISC ' Data Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT/FEE FLOOR FURNACE TOTA " INSPECTED Data I Inspector ROUTE SLIP File No .� I Date f0- �k a/ Location Subject Notes Approved le i� Date Insp0r Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO E3 Sewer Connection Sanitary Permit No. E[--PIumbmg Final Plumbing Permit No. .&I-IIP7. .-` ? a 4 $1/....... ..... Lot No. .... Owneror Tenant ....... .................................................... At ....................... ........................ Tract ...... ............................................. Date Connected ................... --------- .. ... ........................................................ Date Final ................................ .... .. Y..................:.............I ........................... 1T a..... .......... ................... ,'�PLUMBING INSPECTOR 111 12/66-1m • • � I h I' `'GAS SERVICE NOTICE � �" °OPYE BUILDING ,INSPECTOR'SOFFICE CITY OF CUPERTII�N{O Q 19 X0 .. - t You are hereby,authorized to 'conned the GAS service for. 'r Owner or Tenant .... At . . New Service ° �.... ..... No. of Meters .: ! Reconnect ... ............... Move Service •..;.........'.......:. I „ No. of Add.,Meters ........... Move Meter PLUMBING INSPECTOR ELECTRIC SERVICE NOTICE OFFICE'Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO I (D- ...... .... ............ .. 196. To You are hereby an zedP-«oLect electrical service for . ) Owner or Tenant • . . ..... ... ............... ........... .................... At ...... ............ ..... . .............. ........ ...... No. of Wires .... ............ Size of Wire . .. . ........... Size of SwitcdC�A...... Motor Load .......................... Voltage .. ............... ........... Phase ..... .......... ... Heating Load ......................... K. W../..........................:.._... Voltage ........... No. of Meters..........I...;...... 'g t...... ......... Heat................. 220— No. of Add. Meters.. hhree W' e...- . ..... Move Service......... . .......... Power........ 0C 7 Move Meter.............. .................. ...... ELECTRICAL INSPECTr e'- CERTIFICATE - OF `COMPLETION BUILDING INSPECTOR'S OFFICE / CITY OF CUPERTINO Date .-�........ e.....`. .......1.. .....1 19 ........ .. btid g emit No...... -......... £J � :� The Building Located a) Owned by ..� x fi...f -.., . _. w. .-. .-.. ................... Has Been (Completed) For Use As: ... .f.:` :G a _................__....._.............................................-------------------------------------............................ ........................................................................................................................................:... ....................................................................:........... .... yf ------....... ....... ......... BUILDING INSPECTOR 'i 102 12/66-1M