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i W � APPIICATION'+:F08L BUILDING PERMIT
Y ° CITl'?OF CUPERTINO . ? /�
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U � . J Sanitary Na..
I = ,� Date �/��4/ ., 19b� Permit No. � ���
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i o F tlpplication is heieby rriade for`a permit to ��EC�7
�� a ;
Q cn a �L storY�TYPe � `�� � � � Building
a � to be occupied only as 'S�✓�!�'L� y✓�''h/L� G�/y�Z,L/N�.
�� o o in accordance with Plans, Specifications and Plot-Pian filed herewith.
F', 3 Estimated Value of Improvements,$ ��, t�l'I� , Fee$ 6 v'• Q l�
z J It is hereby agreed that the requirements of the Cupertino Buildin� and Zoning Ordinances and
� Z all other laws applicable to the construction, location, and use of buildinRs within the City of
; -' o Cupertino will be complied with.
; 3 N Owner 7%%�—C:,Q��/��� Address �� �� /�y��� � J•
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� � BY ���'� Address ''—'�
a v Phone ��.�.�/�3 _ —
^� / Approve �`
(� , StatC L1CCI]SP ���/��p �' BUILDING INSPECTOR
C1% il
RECORD 'OF INSPECTION PPaOVAL'S
� FOUNDATION — '��� - —3 ,
DATE PECTOR
�
. UNDERFLOOR ' %—`3" , �s
DATE INSPECTOR
FRAME '—f� i `j \
DATF. �_ INSPECTOR
L�T � PLASTER / �7 �`3 '
DAT& �, INSPECTOR
rINAL BLDG. '� �
DAT INSPECTOR
FINAL ELEC.
DATfi INSPtiCTOR
I,�
f.
t:
FINAL PLBG.
Tg INSPECTOR
FINAL GAS
TF. INSPF.CTOR
,..�. :.,:. ..,: .. .. . � � t� '
1Q32� I �rittany C�.. . .
NO. STREET '3.OT NO. ��� ¢�1 an �{,1
� � `� r=�`-� AP l��C��°� � N F ELE�T�ICAL �ER IT
_ . • CITY• C3F CL�'PE�i'�'IhTO
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Date _ _, 195� Fermit No.`�"�"��`, `"
� ..�...—
Fee $ ,r. ��, _!j �
.tlpplication is herehy made to the Gity of Cupertino for a permit to install electrical
wiring a�d/or fixtures as listed on the reverse side hereof, and abrees to install said
� svirin� arid/or fixtures in accordance with the provisions of the Electrical �ode of the
�- City of Cuperti�o, and alI other ?aws ap�Iicabie thereta.
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v €Js� of �'remisPs residence
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� ��" �C�1�7T?ttY�'TC3�;���1GE'N'T `���- ,; �
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Phone:��.9�°Zk+di"�'�-ls_.,.-' ; r--�n'�t�i �E.ECTkt! E HIVSPE�t`��
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� . . • NEW RPL FEES
Size Service Conduit__.._._���.______Number of Outlets__________________ __i�J-___ ______..__�___._______.__
���----Number of Switches--------------- -�Z-- ----------I--�-=--r-
Size Service Wires____________________ _ ,
t�
Size Service Switch.__.__l�':�'�__.__Number 'of Receptades____________ ________ _ ________. _______ _
------
Size Sub Feed Conduit_____.___..__.__.Number of Fixtures__________________ _��.__ _________. .__�•.��.
Size Sub �eed Wires-------------------Ranges....-�---•---- KW-------------- ----�---- ---------- ----�-�J
/ �7�
Number of Circuits----�------------ Oven ---�------•-• KW-------------- ---------- ---------- -----------••-
Number of Meters___.�___________________Signs___.._____ Transformers__...___ .______.._ ___.______ __....__._._._
M.
isc---------------�--------------------�- - Dryers---------------------------------------- ---------- ----------�--------------
Motors.--------�°�----------- HP----��----------- Phase-------------------- Permit Fee $1.00
Motors---•---------------- HP-------------------- Phase--------------------
Motors-------------------- HP-------------------- Phase-------------------- H P Char�;e----------------I__�-_��-�--
_-- } ` �
TOTAL FEES '� ���- �
a, j��� INSPECTION APPRO � S
• ` - >_ ,. . � ------- Fixtures -----
Reugh Winng�=---�`,'=---.�_ __---- - ----- ---�----------------------------
--- -�`._- -----
DFTE INSPECTOR � DAT INSPEC
Finish Wiring �_ Motors ------------- --------- ---- ----------------------
---------------- ------------------------
DATB lNSPECTOR � i /���� - ,� INSPEGTOR
Final ' � ` `
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DATE j INSPECTOR
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NO. STREF,T' �
APPLIC�TlON FOR PLU�i9�BtVt� t'ERMIT
N Q CITY'OI' CLTPER'I'INO
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� Q Date —� � , 196=� Permit No. '`���0
i �. Fee $ � � ���
� ° Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
Z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
¢ W Cupertino, and all other laws applicable thereto.
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�U PLUMBING INSPECTOR
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NO. STREET
i�P�L���.TION FOlt GAS i'ERIVIIT
�' a ,� CITY OF CUPERTINO
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° a Date � ��� ''196�h Permit- No. �
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. , Fee•$� -'—
� ° Application is h'ereby�made to the City of Cupertino for a permit to install gas pipes
o Q and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
ZN and/or a p pliances in accordance with the provisions of the Plumbing Code of the C�ty
Q W of Cupertino, and all other laws applicable thereto.
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PLUMBING II�SPECTOR
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YvO. STRSE'L'
,. LIC/�T1� �I�O� �PPLl��iC� �E�M�`T
� �.. , ��� CITY OF CUPERTINO
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� Pee ��
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A lication is hereby made to the �ity of Cupnd�a�rees ta r�s�all�aidstall
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gas�ppliances as listed on the reverse side hereof, a g rade of the City
appliances in accordanee wi a�s a�pl cable the.reto� P��bing
o¢ ��pertina, and a11 other Pp `
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CERTI �ICATE _ OF COMPLETION
BUILDING INSPECTOR'S OFFICE
�
CITY OF CUPERZ'INO
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Date -------- --�----� �-------�-----�----- --�_,1�: •�._----- �-. Building Permit No. {----=- �
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The Building Locat�d at -------• -------• '---`-- ---= ----.,=-- -�-------�..�:.W3�;�: ....�., --�-:------
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BUILDING INSPECTOR {..
102 1/63-500 �