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x o JUL 24 1964 N''.CITY OF
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IAT No. 86
BUILDING PERMIT
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S;mitary No.OV6
J
Permit No. �AS,7 2
4 . Application is hereby made for a permit to erect
oa
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to be occupied only as single family residence
0 o in accordance with Plans, Specifications
a��r�n7dd^�P�llo�tt-,,Plan filed herewith.
F3: fstimated Value of Improvements, $J_.L�1CL1 F�O Pee $54. 00
O< '
z J - ;- Ibis hereby agreed that the requirements=
RECORD OF INSPt0TION PPROVALS
FOUNDATION
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DATE
INSPECTOR
P.-22
UNDERFLOOR 6'
.-229-.? I
DATE 4XI
FRAME
(QN
`NsveC'rox
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
- I ki
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
INSPECTOR
FINAL PLBG.
_
ATG 4/'"
INSPECTOR,
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,dFINALdS
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DATE
INSPECTOR
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L
O O. STREET •LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
G1T1{ OP CUPERTINO
6 �j
Date ' 963 19,ga Per No.
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Applicatio "is•hereby, r de tc the,City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
O wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
O City of Cupertino, and all other law's applicable thereto.
v Use of Premiere1125 C):Ci _Cc—,
Owner C7� rACX-InL 4,6a k ' Address
a By Y'1\ l)`. �y �r v Address V .
. ; CONTRACTOR, AGENT D
APP roved
Q� Pham. VO ELECTRICAL INSPECTOR
Size Service Conduit ......................Number
of
Outlets..................
Size Service Wires..........................Number
of
Switches................
Size Service Switch ------------------------Number
of
Receptacles............
Size Sub Feed Conduit ....-.-_.........
Numb er of Fixtures ..................
Size Sub Feed Wires ....................
Ranges ----- /-------
KW..............
Number of Circuits ...................
Oven J.....------
KW ..............
Number of Meters_......................Signs..........
Transformers ........
Misc.....................................-
Motors-.-...y...--.--. HP---fZ-----
---.E)ryers.---.............---------
Phase......./...X.
....----
..: Motors -------------------- HP ----------------
---- Phase ...........-------
.Motors ..............----- HP -------
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Rough Wiring&-y-.,✓..�:./`
eArE /
. Finish Wiring ................1:.:.-.
DATE
NEW RPL
FEES
Permit Fee $1.00
............ Phase .................... H P Charl / 00
TOTAL FEES.
NSP ECTION ACOVALS
Fixtut --....
--......
--_..
INSPECTOR '',' •j O e
V
.............•---- Motors
INSPECTOR \ vDA��
Final %.'�..`F..'�
OAT[
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INSPECTOR ' ..
INSPECTOR
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NO. ,S �jT !`
u'A1PPLI WTION FOR GAS PERMIT
�® CITY OF CUPERTINO
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Date Permit No. `T S�
CITY (�� DIP
pT; 11 � Pee $ / So
CtTApplit�Fion islhie ebnmade to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises __Q'S.Q,9 dzritt' 9
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Address C��952
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LOT NO.
kPPLIANCE PERMIT
CUPERTINO
Date
Permit No. ` 6S --
L), i I
C.3Y OF
UPERTFee f�7—__Z�
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR' OFFICE
OF
/ f ERT O
Date ............�.1. --.fit_..-.... B ' i
... ., 19.r-... CUP r w,fdin ,P rm�t N -ox � .j -;
The Building Located `t ......_'_1 .............
.....-_...-
...........
4 to . A.1 t�L r,
Owned by .................. .... ..............._.......... --------------- ..............
c (Completed)-• �" K +
Has Been- For Use As: ....................L-..txz;� "
(Altered) ----- --------------------------
.....................
102 1/63-500
BUILDING INSPECTOR
�. � � -
OFFICE COPY
ELECTRIC SERVICE NOTICE
�� ' BUILDING INSPECTOR'S OFFICE
10
CITY OF CUPERTINO
'---
.................. ....... ................. 19 ----
To (�
You are hereby authorize$ }p mggect el etricalservice for
Owner or Tenant .------- , `i}'1-.�5;'.yY
At ..........---...._ —1.1 — ullk
1\
No. of Wires ........ ......... Size of Wires ----------------- Size of Switch+ �
Y
Motor Load -------------------------- Voltage-------------------------------- Phase -------...----.._--...----�I
Heating Load ..-..------------------- K. W. -------------- Voltage -------------------------
No.
Light..... / 110 ------ New Service'------------- Reconnect -__-----------._
No. of Dieters..-.---_�..-----
..
He. -------- 220-----i TI u Wi ............. Move Service ............
No. of Add. Meters.....-----.. ++
Power ............... Thr Ph ye..[..... -- Move Meter....----......
..--....---
104 7/63-500 (ELECTRICAL INSPECT R ,
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......................
To
You are hereby autho?Nd to connect the G)(S service for
Owner or Tenant ............. 1 -1 -U -k
At ............. c:��7-77.2-9
No. of Meters ......1.
No. of Add. Meters
Ito 6/63-500
OFFICE
COPY
..................
7 —n
New Service ...............
Reconnect -----------------
Move Service ........................
........ move Meter ..........................
Move
PLUMBING I6SCTO
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F] Sewer Connection Sanitary Permit No. sz?
..................... W ------
2 --Plumbing Final Plumbing Permit No.C25cI—,8 . ..........
/i Lot 'No. : ...... ..............
Owner or Tenan�t
At ...............
—
....
f.... ....
Tract ............................–-----
Dt
Date Connected.................................. 1--� --- j
15r
--- ------------------------------------------- ...........
DateFinal ................. .........................
-----------
sp
PLUMBING INSPE OR
111 7/63 -IM CL�5