499 (2) LOT NO. 2 92
NO. STREET I
APPLI ATION FOR BUILDING PERMIT
Gh t OF CUPERTINO
Date _..� 195_ Permit No.�
Application is hereby made for a permit to _(2.40.e�
a story,Type ��5 � Building
' at
to be occupied only as d2�
in accordance with Plans, Specifications and Plot-Plan filed herewith.
u Estimated Value-of Improvements,$ Id-tl' O—V Pee$=;Z 0--Z)
v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
a Cupertino will be compliedith,
y
M
Owner""e�Z� �Address
By --! Address
CONTRACTOR, AGENT
-Phone h�L .2— y Approved
.BUILDING INSPECTOR
_ � I
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME .
DATE INSPECTOR I
LATH and PLASTER —
ATE IN PECLO\
FINAL BLDG.
D TE 'y INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. 1
DATE INSPECTOR
FINAL GAS
DATF. INSPECTOR '
EL' T�(tIC SERVICE .NOTICE °''Plc"
I ING INSPECTOR'S OI -ICE COPY
, (CITY OF CUPERTIVO 4% -
`
.................. t ...........................V.,
TO 195
You are hereby auth r'zed to conne/ctt..the electric ' ice for
Owner or Tenant .Z=� I.r _.1•'�,%g'J... �y ....&ek- .........................
�y �/ G
At ..y� tv.C. .... �l.C.''2.t /� :.. .
....................................
No. of Wires ..ti,;-?.............. Size of Wires .... ................ Size of Switch
MotorLoad............................ Voltage ................................ Phase.....................................
HeatingLoad ........................ K. W. .................................. Voltage ................................ ;
'
Light. .... t l0_`_...New Service....4.:....... Reconnect......._.........
No. of Meters.................. ,
Heat.................. 220. ....Three Wim................... Move Service...........
No.of Add.Aleters............
Power............... Three Phases......_....._. Move Meter..............
.. r.. ...._................... ...
104 2/59-250 ` CLECI'li1CAL INSPPCT.. UR