100115I
0
"'OT NO.'
STREET -"'14
W"
Z 4,
of
OF CUPERTINO
. ........ .. .
0 _PLqtI4�1,QgtFCIR ELECTRICAL PERMIT
'5-
N-rF,"Wlrin 'lihdk '• fixtures: H 'n . Pthe r6erse I side I hereof I , ind. , a r grees I to
ct install said
4 Qcwl1ri1n -a /Or 'f—
i
5_ Electrical kn,aqc2�qqnca,wi' the proyisicips.iif the El Cudii of titi
Cuptmo, arrid. jalli'o'laws t' ' &s applicable th&eto�
her
'qtq�z"" !!4Primhi>.. .... .
Pwfanned-
0
Add,mcfk
7
W. Agent—.
Contra
APProvW
0
Z
�3
LOT No.
z
0 APRAMWATiOk F* -0R- ELECTRICAL PERMIT
U.cjrV OF ruprRTINO
�P A': I
0
Due__ ��s _ ,/ • : i , 19 '71 permit No, Fcc vo
W
Application is hertby made to the City of Cupertino for a permit to install electrical
,`wiling and/or fixtures as listed on the reverse side hereof, and agrees to�jnstzll said
00 wiring and/or fixtures in accerdar with the provisions of the Electrical Co f the
City of Cupertino, and all othc I h bleihe"eto.
Q
ar,
(5
0
z Use of Premises '7 2-1
Z
0
Ownec"2—
Adimis
By
Address
05 CONIiACTOX, AGFNT
4 0
217- Ari ov 7 11 1&- X
I LEC XICAL IMPT Fn)eL. \
State License
t
I •
.9
W .56
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NG _ 5274
DATE 5/14/75 I9
ApPlk.,,.n it hereby node lo, o p,il :o
Rn Ddel o -- _story, type IV
(Including Parking Areas & Landscape)
Io be occvpled onlr a, Servicq Station
in a«o.donce .d,h Plol Plon, Plan, owe ,pe<IGmYan filed I,ew Ih.
ESTIMATED VALUE OF IMPROVEMENTS S I.5'70 _
FEE S __ 44.00 PLAN CHECKS 23.60
OWNER ADDRESS 66 a2ji t Ot. SMidateo
PHONE
CONT.`. \��� _ADDRESS
C%
PHONE _STATE LICENSE__
.uPRO'YED_J_wes ii. Sisk/h _
P.*f 11.5"CCe
BOND BEAMS j1 1LATH
IAN CARING
F u, O INSPECT,.
3
I
0
f
11, y (; J. c u 1. 1: !1 11, 1
1J'%
777'
OCC. cii'Duil—Ez—
J 73- kl eA-
1 i!l
VALUATT07; i -2F
I'.LDG YLlu7 FT7
-Ci,.
CAP FFT
j
Z -A