NO PERMIT NUMBER (2) . �LecT
SUAI iQ ,.St 1 )9 .. Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
d File No. S��-3T
Date / Y� 196 � _v -
Application is hereby made for a permit to
a story, Type
to be occupied only as "'
in accordance with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $
FEE$
Plan Check b
Owner ,A2 / Address
Contr, Address
Phone v2 s"3 -s I/- 8 6 State Licensle/
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cant, Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Cont', - Address
Phone "' - State License
Approved
Applicants agree not to violate any of the -- '
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES Z'
MOTORS
FINAL
I /
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Cupertino Sanitary
District Copy
BUILDING INSPECTOR'S OFFICE
jR F CITY OF CUPERTINO
x
Sewer Connection Sanitary Permit No. 217
D( 1v...F�---------
%
Plumbing Final Plumbing Permit No.,
Lot No. ........._.
Owner or Tenant
. ...4.................................
At
Tract
DateConnected ........ 1'..7.`.73/ .................................................................. 19............
DateFinal ...........//-------?.......?-a...................................------------------------------- 19------------
....................4,14
..... ....... -- -- -----------------
PLUMBING INSPECTOR
OFFICE COPY
5L9- ELECTRIC SERVICE NOTICE
4� A BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
I96.L)—
To
You are hereby orb rized to ct el ical .e for
O ..... .........Aea S
wner or Tenant
No. of Wires ........._............. Size of Wires .... Size of Switch(UU,.A-..
Motor Load .......................... Voltage .................._._......... Phase .... ......................
. . ...
Heating Load ........ ............... K. W. ........ ..................._.— Voltage ----....... .........
Light................ 'I0........._. New Serv' e.........._... Reconnect..........
No. of Meters....
Heat..............._ 220....... hr ,e...... ....._.. Move Service..........
No. of Add. Meters............
Power,............. as ................ Move Meter..............
L. . ..r.. :e.._...,
EL MCAL INSPE OAS 1
�t'
my or cup"TICE OF ADDITIONAL CHARGE
CITY OF CUPERTINO
OCT 2 71972 BUILDING INSPECTOR'S OFFICE
/0 1",�2 -
Date 1 — z
P,..A-z -j-P!D...... 19.Z... Permit No.
To ......
---------- -------- ............. ...
Address ....
................4 .... . ........ . ....... ......... ............
Reason
- - ------- - ---
...... .......... .......... ........ . ......
.. ..........
------------ ------------ .......................... . ........ . ........................ .......... ...... -------- -
Amount ..... Signed --- --- - er
- --- - -------- ........ .......... ........ .......... ..........
'P 106 3/59.300
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� I LC{/ I�i S C J �. LOT NO.
NO. STREET
,�a C1SY OF CyFE[i1N0
Z_ CITY OF CUPERTINO
211
OCT 25 1972 APPLICATION FOR ELECTRICAL PERMIT
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a 3
W O A Permit No.
J
?O Date I�/' / . 19 Fee$�
o r Application is hereby made to the City of Cupertino for a permit to install electrical
> a wiring and/or fixtures as listed on the reverse side hereof, and agrees to install
Z g sta said
a wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
I-= City of Cupertino, and all other laws applicable thereto.
a
J LL
Do Use of Work To Be
>y Premises �y77P_
Pertormed � ✓ r�P4
//
OQ Owner f;US Q7L[��FruS gtltlresscC7(�/� N YISe Ur
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j 0 aY l e Address C Li J2 er
3 QContractor, Agent
Ph
N one i.ense —
WZ
�d State License D.�L���✓+.-�tii PP ovetl
A r
O f Electrical Inspector
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LOT NO.
NO. STREEI'
CITY OF CUPERTINO
w Rn, OF CAMICATION FOR 'PLUMBING PERMIT Q
r oSanitary No. ` I
3 a Date SEP 28 19
72 , 19 _ Permit No�xl3 A649
U 7/�
o p Fee $
Applfati nT is e y made to the City of Cupertino for a permit to install plumbing
'o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
'z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other Taws applicable thereto.
wx
Use of Premises
00 /
oa Owne �/e R&;--/d S Address
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RY Address 151W,d?I-Pm 0 N--�Rp
3 �/ CONY oACTOR, AGENT �' ✓_ e�C1 PQ CA4
)<294—
— m Phone <294` O 3,13
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a 2I�IyState Licenser-,9CS�QG Approved
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0I PLUMBING INSPECTOR `'
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