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�►PP��Tf+�� O� BU�LDItdC7 PERM14 �
i '���;: � ��i��w;��q��.,,� UPERTINO �� �� � �
I �� � � � Permit No. ��S —
'� '� ��"aE9:�k 1 d
Date -� ., �. ���' ���C �
A lication is hereUy made for a ermit to � �� T Building
���� to��;T�p���. � �, �� �,�r/Z i"l
a �"l.��v � . �r� r� 1� �s�"
at ,�L(�°�
� �
to be occupied only as ��' ���
in accordance with Plans, Specific a t i o n s a n d Plot-Plan filed herewith. �
�.�' e--�.,,,.,,,� , Fee�
ertino Buildin� and Zonin� Ordinances and
a�
Estimated Value of Improvements,
� It is hereby agreed that the requirements of the Cup
V y�
licable to the construction, location, and use of buildings within the ity o
all other laws apP lied with. �y ',rr��=
*-a Cupertino will be comp �� r`����j�j,� �`
� �j f�� � � ���a��� _ Address�
� Owner �C � i� �tl ��/��
`.� � /"��✓'� / ��'�, Address �
By - � � _ , � ,�ti
CONTRACTOR� AGENT � AljpTOVe +
% � ` �� ` gUILDING INSPECTOR\ '
�.r
Phone
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• RECORD OF INSPECTION APPROVALS �
��f�--.� �,��:
FOUNDATIOIV " „� ��
__� ;
DATE .
FRAME �� � INSPECTOR -
�,., {; DATfi I
� , INSPECTOR
,' LATH a- d pI,ASTER
ATB
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FINAL BLDG. IxsP$crox —
,',' �L- � -
D TE
FINAL ELEC. INspEcroR
Z r
DATS �
FINAL PLBG. INspECTox
z I
ATE �
FINAL GAS ' � INSPECTOR
_. DATB I
INSPECTOR
i :
t�` 3� r.� ��-- LOT NO. ���y
�t ti ��t.a-
��,:?��� . �' . .
p., STREET
� �OR PL�1t��ING� �ERt�I'f ��
��, ���LI� C�`���` . -
�� �` '� �' � �'�'����� " �' OF CUPERTINO
� � nrvF",:S �� ^'
' �:'s'�`;'��� ���:����,��`' 195_ Permit No. /�� -�° r
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�. �ate �ee � ���-� ` � �'
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a+z,F`s ;� ` ,� �_5z,'a >��� � ��i iL,,.
�,�','` Application is hereby made to the City of Cupertino for a permit to install plumbing
� " pipes and/or fixtuxes listed on the rever r�iao seof the Plumb ng Code of the Cpty of
f�`� and/ar fixtures in accordance with the p
�, �v.pertino, and all other laws applicable thereto.
� � ������
� tJse of Premises __, ,�
>�`" �y
°'a e'���r�l...-�'�'L=
�' � ��"�`.-s`t-�1�r�_`� t�ddre�...aC� �..,. r�� �<1"r
� ;�'i� /7� ,�.
� Owner �� � ;r ,��L:, ,�
r j j'G�L,-��_ ������.. _ Address �.,Y �,�� _ � ����.
�j1 �5 ..� ,� ~ A . �q,�7/,i ,1;,/.�- .
C NTRACTOR, AG�rv i ''"'��f ,
tlpprove �F �
�hOne �� ��b������� ' PLUMBING�INSPEC�'l r�
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� � � �i� � �rELE�`�R.ICAL PERMIT
�P�I:t�`�TW'��� .�, ,�. .
� f,,F CITY O�',`;C�1PERTINO
i �j �< �� , � ��,��� R� �,. � � ��,"�
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�f 19,�? Permit No. ��
Date 'l /�' '
� � g =:�� �;�'�-�a<��:� Fee � �
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A lication is hereby made to the Gity o� Cupeaenhereofa and agrees toainst 11 rsa d
pp
wiring and/or fixtures as listed on the reverse si
wiring and/or f ixtures in accordance with the plreo��eoe s�of the Electrical Code of the
City of Cupettino, and all other laws applicab
,
�,t�"�"
� , � .
�, Use of Premi . 6 �'����Iz. �//� �
� �' � �' Address �.�� �ac���:�,„
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� � �
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� Owner , . . ��'=���..,T, ,
; Address �� ; .._�
. �-
� y /��-,� 2 '�
.� � � ��� , r��r_�—-
� CONTR�CTOR� AGENT A�jprOVCC� q x.
-, �. /' �g ICA& INSPECfO�
�`s�� - „�c -' �/, ��
Phone: j
� NEW RPL FEES
Size Service Conduit__ l�
--- - -�--------NumSer of Outlets------------------ --�1-- -----��-- -�-��-----
Siae Service Wires...s.3_�..__..____ N�ber of Switches________________ __
� _D�A l�-- ------�-I--5`4------
Size Service Switch____/________________Number of Receptacles___.___.____ -2,�_ �I� `�
-- - --------'-`--C-
Size Sub Feed Conduit__________________Number of Fixtures________.____.____ _/_�-
---- ------�-- -`�'--_0
Size Sub Feed Wires----------------•--Ranges----------- _ -------..
•---- KW-------------- -----f %�S—
Number of Circuits------------------- Oven -- ---------- --------------
-----------•-- KW-------------- -----� %,S—
-- ---------- ----------
umber of Meters_.__.._.___. "'"
-------...._Signs__.___..__ Transformers________ ________ f
. --I---------- -
Misc._----- - �_ -------------
�--�_�::���-
---`�-_-�J------------Dryers---------------------------------------- ------! _ �
Motors--- --------------- HP-------------------- Phase------------------- --I- �_ !.5—
--------- -------
------
0 ors-------------------- HP-------------------- Phase-------------------- I'ermit Fee $1.00
Motors-------------------- HP-------------------- Phase-------------------- H P Charge_--------------- ------- -
�'I v �i_.---
TOTAL FEES /J i���"
C INSPECTION APPROVALS
Reugh Wiring��3�I ._� _ Fixtures _
DATE INSPECTOR ----""""'
F1II1$21 �It1IIg DATE
I-"""'INSPECTOR""'--
--•-------------
--•-------------•---- Motors -----
DATE INSPECTOR � I
"""""'
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- Final _�►. � GTOR
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DATY IMSPEC70R .
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''�_ �`�p���.tC�►TIC� � F4� GAS PERMIT
,,,, � �%� � � F Ci1PERTINO
' � ��.��'i�a �; � �:���I �T��'s
t-> -
� or f P\
Permit Na
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� Date ��°,y �,✓�� �,P�_ ,_ � ��!� � �
:�s., : . Fee �
� ermit to install gas pipes
the reverse side hereof, and agrees to Code ofathe C ty
�o Application is hereby made to the City of Cupertino for a p
�' and/or gas appliances as listed on
or a liances in accordance with th lep heretons �f the Plumbing
� and/ Pl' licab
'� of Cupertino, and all other laws app
� � j� �
� ,
� Use of Premises , �� /`
� C� �� �� r �eL
� ,,�,Q�,�_, Addres� � � ��
� ��� �L-�-� c�-_ � :s`
�, O�vner_— �e Addxess
� �e�� � �,. !�,�'a?<� �-�'�
B G�C.;�— �.�, ; ; .
y coN�ncroR, nGEN-r Approve _ " � �
� � � ���� _ PLUMBING INSPEC3'�R '
Phone -
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/�� NO. STREF'I •
pPPLIC�►y� _
, �p�. PLUMB1NG PERMIT'
` CITY Q�' CUPERTINO ��
� Sanitary N°• /
cn Q . � , '
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w � �_�� �:. s.- �:` � Perm
� o - ' , 196— f-
Y u� `) Fee �
o Q Date , , :-� " f�� � . � ermit to install plumbing
'>U r ' _{ , ` ' ' ' ,a€ Cu erttno for a p prices
w � ' ' made Eo'the C1ty,� p.: and agrees to install satd (�f
F o Applicatiori'is hereby g Code of the C�ty
� rovis�ons of the Plumbin
� � i es and/or fixtuces 1�1Ta a Ce whh t�� p�'Sl`�Qto ereo ,
° a p p or fixtures in acc ii a le: here
r � and� and all other law ��I';� _
z N Cupeltino, , ,, � i
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a ~ Use of remises . - ���-�-�-�
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NO. STREET
�, `���ion� Fo�� u������ p���a�
�� ��� ,� ^ �� .�:: ,� ".'��`' �'� Y OF CUPERTINO � � ( �
}j `':.�� `��-� t�'��� � � �
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� s � Permit Na
f � . ,W,� � ��,195— �
Dat� ; . ; �,` �,��:p�
�� ��n � � �F�.,. . �� � .��' �¢� \ � � � � � � �
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Application is hereby made"�r`a perCt�.�1fl
('� Building
a��i�st�y,�'�"����`m � ��i
,.:�< � . `x'a _��n� �-� s �' �' �C� f� I'
�
at � � ,. �----� a, �
to be occupied only as � 1 X � f � ���u� I
in accordance with Plans, Specifications and P1ot�,,Plan filed herewith. `: �.i r'� ,
`�Q!'� ;� Fee�� I
Estimated Value of Iinprovements,�
��.- .
a�
�' It is hereUy 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
V �. � -,
�
�„a Cupertino will be complied with. , �
.°�' �� � ���� ���,�. ,� Addres� �'�� ��,�e. '� .','�_`
� �'��— ,
� Owner 4 ,1� ��v -�� � , x� ., �
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v� � - " � - �
�.`".-�,' �,� � '�' f�-'� � Address�� � , .
By �`�� 'i � �` :�
GO[JTRACTOR, AGENT \ � � �� ���������E
q �C� ,,r� ���_.��%�
i , Approvq � �-�
�I P one � — l� UILDING INSPECTOR
� � --
� .__
RECORD OF INSPECTION APPROVALS
a
FOUNDATION I
a DATfi
� INSPECTOR
FRAME I . ,_.
DAT&
INSPECTOR
LATH and PLASTER I
DATH
! rINAL BLDG. �Z 4
� D E � IN
.-� FINAL ELEC. I
DATB
INSPECTOR
FINAL PLBG.
D�TB l
" INSPEC?OR
FINAL GAS I
DATE
INSPECTOR
.�>..�. .� : .,: . _..... _
- ---- -
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� _ Cupertino�Sanitary
i
a � Office Copy
�
�i �UILDIt�G INSPECTOR°S ���IC�
� CITY OF CUPERTINO
I
�� Sanitary Permit IVo. _.,���------"�
� � Sewer Connection
� Plumbing Permit No. __�- --��--------
� �lumbing Final :
I
_.' Lot No. __��---------------
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