NO PERMIT NUMBER (2) ,per
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No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.1-0 0,�G��
Sanitary No.
Data 196
pplication is hereby made for a permit to
- a / story, Type
to he occupied only as
in actor once with at Plan, Plans and
and Specification filed herewith.
Estimated Value of Improvements $ JyV
FEES a 0
. _ /Plan Check $
Owner _�� t� /SLA-'ra/�+c/��h'.,1 — 1
dress '
Contr. / 7 Address
Phone oZ �"" / State License
Approved -
IV
APPLICATION FOR ELECTRICAL PERMIT
Date FEES O�
Cont- // q Address ��a+
Phone �lO " / �� State License �e
_ Approved
APPLICATION FOR PLUMBING & GAS PERMIT � -
Date 196 GAS FEE $
PLUMBING FEE $
Contr. 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.
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Inspector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWI CHES UNDERGROUND
Date Inspector
RECEPTACLES OUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
py Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector -
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
' Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE "sr MISC
GAS DRYER PERMIT FEE
FLOOR FURNACET TOTAL FEE
I �
INSPECTED
Date � Inspector
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING DING INSPECTOR'S OFFICE
600 OF CUPERTINO
To
You are hereby authorized TtQconect el rical se 'ce or
Owner or Tenant ...............' w«.................... ........ h)A 1Z
-...
0 032.
At ............. ................................................................. . ... ............ ... ...
No. of Wires .0?................ Size of Wires ....Z........... Size of
MotorLoad .......................... Voltage ................................ Phase
HeatingLoad ........................ K. W. .............._................... Voltage .....................--.........
Light..... .... I to- ....... mSe cm`....... Reconnect..................
No. of Meters...................
No.of Add. Meters............ Heat................. 220 .. T ree re............... Move Service............
Power............... T e................ klove Meter..............
... ..........
Z ECTMCA IN9P OA
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So ° CITY Op CUPF.RTINO
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'o a Application is hereby made'f r a permit to _n 7it_[—a
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p
2 ° in accordance with Plans, Specifications and Plot-Plan filed herewith.
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Estimated Value of Improvements, $ _/e0 13, Fees /z 6 O
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use of buildings within rhe City of
O Cupertino willbL complied with.
3 m Owner X /1«0 7 t7f<T Address
f
. W By x' Address
a U Phon Y-2 S`3- yl/_U
Approve
'1\_ State License BUILDING INsrecTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. -
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
r/ 16321 1 S. sa_ 4L4 MA- TNO.
NO. STREET
a ftilvov ARPM A LION FOR BUILDING RtAlTzc ° OP CUPERTINILO .fUute 29 1QCC Im_ Ferm,t C* OI 7
ro
LL w A•�pl"cavtiorr,� hereby made fora to
(Uf /�1
zz to a O, t 3toryf;T f n... Building
a II ,
4 t..be occupied only as 1 r AuNcordance with
a
0 0
Plans, Specifications and Plot-Plan filed!heresvgh. 1 Ck Fee
": Estimated Value of Improvements, $ WS- Fee$_-.�_�_
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will b c0laplied with. /J„4
3 FSV
- N Owner Address
c a By--*�f_ Address
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o Q /A1�p-pl_icaattion is It b ade for'a;pr� -1tQer
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a w a - story,Ty � Building
,w. t..be occupied only accordance with
a
o o Plans, Specifications and Plot-Plan filed herelvph. PI Ck Fee
Estimated Value of Improvements, $_ Fee$
oa
z J It is hereby agreed that the requirements of the Cupertino Bui g and Zoning Ordinances and
J z all other laws applicable to the construction, location, and us o buildings within the City of
d O Cupertino will b con p'ed with.
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a Owner Address �
wi d
a a By gy rail) Address '
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Approv
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NO. STREET '
3 APPLICATION FOR BUILDING PERMIT
r ° ® UITY OF CUPERTINO
sU mnaar!ry Nu.
Date �(<t plamit
° Application is hereby ma e foto
o a or
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to be occupied onlySTfI�aQ�fe$ccordance with
a
0 o Plans, Specifications and Plot-Plan filed herewith_ Pl Ck Fee
" Coe
; Estimated Value of Improvements, $ i! D�N� Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
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Z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino, C jmphed wiitth.
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Approv
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