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� �'/� "� C�L_` � / LOT NO. : , I .
Ci'�_o_!-
N0. STREET
•. . . y ,r..�Y:{:S2 ��I�i L:I��ION FOit �UILDIi�G PERNIIT " FPu.. .
v ��'h�'' � �"+�' � � ��CI�'Y OF CUPERTINO
@ Date � �,�`�� '��� �� � ��1x�5— Permit No. � ���
� ; s�`� �:~ , ' ? �k ��.
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«a� _ s���,��
Application is hereby made for a pe �t �J=!��=`'�
Y�. � Building
.(� a �'; Ci�' r 5 s forjr; e,s'- ~
p ;,
� `-h'[ : i L��. �'.r.'4�6 �� � �y.t i5
at
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to be occupied only as
in accordance with Plans, ecifications and Plot-Plan�fi�led herewith. �
�stimated Value of Improvements,� ��°��� • Fee$
�
� It is hereby agreed that the requirements of the Cupertino Buildin� and Zoning Ordinances an
� al1 other laws applicable to the construction, location, and use of buildings within the City of
�j Cupertino will be complied with.
°3 �' , f' /�f ��'= �i/�:�� Address.,J���-cj`�-�� --�'/;rer�>+-`�
� Owner '� ��'�`�' �
J--� l
`�' - /" j, f�, , - I � Address i � ��� �✓ /_';�j>��Kr,�,.
By /��`'/ii,� ✓ �-�,3—.y�..-.,� � ��
CONTRACTOR, AGE�.,
e�'� � �j?t- :� _ ����t'.� , API'rove
P hone � BUILDING INSPECTOR
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j
' � � RECORD OF INSPECTION APPROVALS
r."" • • � , '
; � FOUNDATION �
� TE INSPECTOR
FRAME d I
D & INSPECTOR
LATH d PLASTER �
DATE , INSPECTOR
FINAL BLDG. _�i�`/` I ' �>
DATB . INSPECTOR
'j .
FINAL ELEC. �/- � I
_ D�Tfi INSPECTOR
FINAL PLBG. /"� %' _�
DATB � -i INSPECTOR
FINAL GAS .'� --%' �
DATfi INSPECTOR
_— _---------___— - __ _
— _ _
� ,/����-� ( !�" , ��� c
T"-L-� �Y � LOT NO.
/ /
Np, STREE�T �
APPLICA'TION FOR BUILDIIdG PERNi1T
CITY OF CUPERTINO
� �� �
Date S k� ���� � � � � — Permit No. -���
�_• � .... _� � �i_
ApplIc�at•o e�made,� � ,,,� ���"�'�-- -
������ � c
��'� ' �'' Building
a � s ory, YPe =. , .
�`� r�� .�
a.t a'`�i'3`2 i =�7 s' S� � Il .@ a-�.. � "� �3
�� 3 � '�2r# �.r`-_r.: �.. � G�,s� - � t '�''i�'.
. C;C� �-�--c:-c', �:� �,�;�
to be occupied only as
in accordance with Plans, Speci-fications and� lot-Plan filed herewith. �,
� C�
a�
Estimated Value of Improvements,� r� ��� e ���• Fee$ ,"
� It is hereby agreed that the requirements of the Cupertino Buildin� and Zoning Ordinances and
� all other laws applicable to the construction, location, and use of buildings within the City of
'-a Cupertino will be complied with. -
� �� -���'Zi-�z'�, `�� � d i�"t�+-�� Address
v� Owner �.�� � �
B�, �� Address - ,
; ��� '
CONTRACTOR, AGENT ' �
�,/7 ), , ' Approved � -� c s.�L�-�_�_.�
Phone ��, ` '"/ �� �'�� � _ "'g DING INSPECTOR -�y�.'
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RECOItD OF INSPECTION APPROV
ALS
k { FOUNDATION �
DATH INSPECTOR
FRAME I
DAT& INSPECTOR
'; LATH and PLASTER I
'� DATB INSPECTOR
FINAL BLDG. I _
DATB INSPECTOR
FINAL ELEC. �
DATS INSPECTOR
FINAL PLBG. �
DATS INSPECTOR
FINAL GAS I
DATfi INSPECTOR
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' . T10: • STREET
'""�'c`� �' `-�'�,;
, ,,��� �,��,,�����G��T;�OPI FOit t'so!►S PERMIT
' � ��' CI'�'Y'j OF CUPERTINO
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;{�' �J�� ��� ��� iL�'t?�•�k'�;��; � Fee $ ,��= a��
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� Application is hereby made to the City of Cupertino for a permit to install gas pipes ,
'1,,� and/or gas�ppliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
�` of Cupertino, and all other laws ap�licable thereta
�
y � � @
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� Use of Premises
� ;��'���-+-�-> _r'�� ��-r=-�_ Addres � �:�-a ,� ".��
`�r� Owner � ., �— f �. � ., d�Z
�" By �� .� ��--���-`.� 1, 1 Addres F�'� ' , �' '� ��
� �
`� 'Z`�' CONTRACTOR, AGEN'P \' � AppTOV �' .��� ��
� '
PhOne���t'� ` ���� - � PLUMBING IN �E OR
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PIO. STREET ' '
�����C�,�7'lA�l�l FOR P9.UMBIWG PERA�IIT
���' ��" ��' C#'I�I'�OF CUPERTINO
,� �
t�� �
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Date �`������ �``�,�19�� Permit Na `'� �''
�1 ,ti`,� �,-�� �`�� �������'�-���3,�. Fee $ ��� �,,�.
�'a � , 4' �:,t 6 �� !_ _ 4 P ���,;
'n Application is hereby made to the City of Cupertino for a permit to install plumbing
<� pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
��, and/or fixtures in accordance with the proeisions of the Plumbing Code of the City of
�
`�: Cupertino, and all other laws applicable thereto.
a�
� Use of Premises�`�C�-�-�-���
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•�;, OwnerC- �- � , ?��-� Address y ,`'''� vs`"-� ��
} � By <�" � � _A _ Address a,�f� i _ .�+..�=� :c�-�P
� CONTRACTOR� AGENT /� � �, �g 2 , � �
� ���' Phone G'''f`✓:.,��,�:%,; _ Approve�l-%"' .. ,���� i:: �
PLUMBING INSPF,�CTO �
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C � � LOT NO. . �
NO. STREET ` ^
��4;;�►��CI�ATi0�1� F�R ELE�'��ICAL PER1�9'T
� �j''o�, ������� �` '1 C� it 'OF CUPERTINO
�`° � f '! �,_
� 'y J 4 �`.s��' �: �,
� �� � � ��- � � � Permit No. �a � � �—
, 195— � � �>
Date Fee $ C � -�-
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Application is l7ereby made to the City °ve sesedenhereofa and agrees toain t 11 rsa d
wiring and/or fixtures as listed on the re
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
� �
� -�:- - �
`�_�,
�, Use of Premi . ;s
° �' j' �-' 'z,� Address �
Ur:'" � .^ �/r
;..;,a Owner �' f,✓ �, ; j
61 .-��i � .— e�'-, ;.. /`rE'���r� Address i i�, .
By n 6 � f� (. � ���;_;�W R,y ��>'A
CONTRACTOR, AGENT ApprOVe �° • - , ^
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�"� / �,.- ELEC'd'RHCAZ FY�I3PEC°�$ � �;
R s"-1/t.`'. �_`G.�� !.�!< �_— . �. . , . � .
�i11,L3ne: ; � ,
f� �
�
1 NEW RPL FEES
Size Service Conduit____../�
---- �-------Number of Outlets__________________ _��
_ . �
Size Service Wires._._.,�.._�� N�ber of Switches_______________ / � / 7�
- -�-- ----�-----I--,/i_.,70
Size Service Switch_._�_'G?�?.c�:a�,�N�ber of Receptacles____.._____ _ _
� -�-- ----•----- --�1-!`�
Size Sub Feed Conduit__________________Number of Fixtures...__________.____ _._�
Size Sub �eed Wires----------------•--Ran es..----- - - ----•----- -/'--�O
g ,1--__ KW-------------- -
--------- ---------- -------`�S
Number of Circuits___________________ Oven
-----/�--- �W-------------- —
---------- ---------- - � l�S
Number of Meters________________________Signs__._._.__. Transformers_______. ___.____._ _
Misc------------------------- ------------
---
-------------------Dryers------�- � ------- -- �.�
Motors------•--- --- - -------------------------
._--- HP-------------------- Phase-------------------- --- ---------- ----- `'
----- ------��--
otors-------------------- HP-------------------- Phase___----------------- Permit Fee �.00
Motors-------------------- HP--._._._.----------- Phase-------------------- H P Cliarge..-------------- --------------
TOTAL FEES � �/�
C NSPECTIpN APPROVALS
R'ough Wirin�✓�Q_ .11---
- ------------------- Fixtures
L FE INSPECTOR _""""""_""""
FIIll$11 �lrinp INSPECTOR
DATE
b """""""'• """'"""""''
DATE Motors ____.____ ___,,._
� INSPECiOR � "-"'-I""'-'----'
""""'
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Final u,SP��TOR
'" •`---`=------••-•--- �
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� . `.`_ . �../� INSPEC70R
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� .� � . � .. � � � . �... � �
i . u CERTIF9CA'TE OF COMPLEYIO�N�': �
I BUI�.DING INSPECTOR'S OFFICB I
� CITY QF CUPERTINO � � �-� l
I
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� Date ---- f =' ---------------� 19 '..' Buildin Permit No ' `� , i
� --------- - '=�-- g -;
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� The Building Located at _.,._: �: 4 ' .._' ' _``"�--------- i
--- --------- --------- -------- �_�,.,
----- --=--- --
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IrJwned bY ------ -------- -------- -------- ------
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•• Yr'tu�. . �rs .�..__.-__.___'..__.._ T�yt+?'_____________________'_._______ .'
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�
BUILDING INSPECTOR '
I 102 4/61-500
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