916 (2) qq `� - . '`$` ���Q✓P.tJS. IJZE�ei��41MNo.
NO.
MR13CA 1 N TOR BUILDING PERMIT
9 '960 CI (j i.O//F CUPLRTINO
Date ? ' 1~;(- Permit No.
•r
At7p4iG�tioO hefe�y`made ermitto r� �v r I J' J
Q story,T e t 's tL A Q
a Y YP , � � Owl_Building
at 9 5 t 2.\,1 Q t Y5 Q Q_A—< d ,
to be occupied only as t o YZ A 9
in accordance with Plans, Specifications a/gdd Plot-Plan fled herewith. op
Estimated Value of Improvements, $ Fee S' �\
u It is hereby agreed that the requirements •ofothe Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction; location, and use of buildings within the City of
Lo will complie
Cupertinwith. '
y J/ �j . J
yr Owner,1 �9_ -Address Al
By e)W'A)P :Z AIMAddress
5 CONTHACTOa AGH Tr; �'� 1� \
a •�ApP ro . a
Phone �-- B )I.OING INS CTp0. (/
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
ATE INSPECTOR
FINAic BLDG. d
D R INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
4
7 I
! i A !�
" I, the undersigned do hereby certify that I am
the owner and occupant of the single familj-yd;elling at
for which I an making
application to do CAR42 U t?.�ti*ork as n
I also Cert1£y ti12
a. t I ',all not 1',a` e any nodi-14co=e'1
IAF- P I'?? or contractor;-but will do this ;cork myself.;
SIGNATURE
9 C7 � . SFQJe.QS Ct2E
Nd ST LOT NO.
DQ.
APPLICtAT OFOR ELECTRICAL PERMIT
n} .(A-UG 26 !960 Y OF CUPERTINO
Dac 4a Permit No. 9/ b
Fee S
Application is hereby made to 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
"!wiring and/or fixtures in accordance with theprovisions of the Electrical Code of the
•!City of Cupertino, and all other laws applicable thereto. r
L � c
v Use of Prem �/ D — <>Q-rLvICU:_ — �fJIKA Q Q t ,
c � -
a" Owner 11 Address
ro By Ir5- div✓.lr.� 4 7A ,��r;� Address t 1Sik ')A
CONTRACTOR, AGENT Iq
`�/SII a,: / r�� pp ELECTRIUC INSPECM
NEW RPL FEES
Size Service Conduit....1..I-............Number of`Ou4'.--- . ..e------ ---------- ----------
Size
------- -..1.�....
' .]].
Size Service Wires._:9.L::. _.......Number of Swi� hes....l------ --- ---------- -----__- --7D._.
i
Size Service Switch../0LL._ ......Number of Re ptacles..� --- _.. -- O
Size Sub Feed Conduit.. .....Number of Fixhires---------7----- - �C
�o � -------- ---- --
:��sdP,t: 7 Z�, � —7
Size Sub Feed Wires.�.. ------R° ges-------_---- KW------------- -------- -------- ----7A--.
Number of Circuits................... Oven ...... KW-------------- --------- --------- -------......
Number of Meters........................Signs.......... Triansformers-------- ---------- ---------- --------------
Misc------------------------------------------------Dryers---------------------------------------- `-------- ---------- ------.......
Motors.................... HP----------......... Phase----------------- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase------------------- .
Motors.--------------- HP------------------ Phase................... H P Charge...... --- -'--L......----
TOTAL FEES `�• �� }
RECORD OF INSPECTION APPROVALS
Rough Wiring'-------------i--I..............*--------.-. Fixtures ---:...------"--- --------='------------- `
DATE INSPECTOR( ' i GATE, INSPECTOR
Finish Wiring ....................4.:. Motors + .I. ... .'r,
(o
DATE A� r �- IXSCLCTOR\C �'J,�I>DATE (. �INSPCOTOR•.rt"- j
J'f -'°••rrT' PFinal �.GG1C'
S ♦( D/.TltJ, •INSPECTOR j
�.�