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3026
LOT NO. 0. �Y 'Z a W � ;XtNFOR BUILDING PERMIT r o TY OF CUPERTINO Q o :i'JUN 0 1964 Sanitary No. 5Dot (v W U.(Date ((�� 196— P mit No. oo C1T�°Y�/ 1ppQ tions r or a permit to aU'-) a story, Type `� Building aI to be occupied only as Ld © o o in accordance with Plans, Specifications and Plot- PIgp.�led herewith. _ 1:57U F3 Estimated Value of Improvements, $_s�CL� f`—. Fee $ i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and Z all other laws applicable to the construction, location, and use of buildings within the City of 2 o Cupertino will be complied with. 3Q Owner Address % 6 0 C—A<< W W By f Address Ami ¢ a < U Phone 2 _ 6 O Approve ButcniNc State License�V 6 r REC OF INSPECTION APPROVALS r)100LINDAT ON — O DATE INSPECTOR UNDERFLOOR FRAME LATH and PLASTER FINAL BLDG. FINAL ELEC. DATE INSPFCTOR DATE INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS DATEINSPECTOR LOT NO. O� NO. UO OR PLUMBING PERMIT Cl F CUPERTINO W �w oz JUN :� 01964 Sanitary No. _ � a Date 196— Permit No ow U CITY OF CUPERTMO 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 > and fixtures in accordance ith the provisions of the Plumbing Code of the City of ��wa W Cupertino, and all other la s a licable theretoE. II� aoLL Use of Premises 0 3 Owner - Addres a Z Z?-�-- o z By Address a Am - � ° CON CTOR, AG NT 3 F- - N Phone Z!j C � w Z w w a °a oo 9}State License 70 Z C ` Approved _ Partial Rough__ A ' „ j _ Rouah Comolete.. :Main Drain Final.. FIXTURES --NUMBER I DRAIN UNITS FEES UNITS FEES Water Heate Size Water Closets Material Bath Tubs To Curb Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. Dish Washers Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Comb. Sink x Trays To Curb Dental Units Drinking Fountains Floor Drains Hoppers WATER SYSTEM Size Restaurant Sinks Material San Traps TOTAL FEES Urinals Fixture Fee Area Drains Main Drain Fee Water Leaders Storm Drain Fee Sprinkler Valves Water Sys. Fee 0'0 Permit Fee TOTAL TOTAL FEE RECORD OF INSPE ION Underground Rough .. Partial Rough__ A ' „ j _ Rouah Comolete.. :Main Drain Final.. LOT NO. v NO. 0 S TN FOR GAS PERMIT wI!� a 1i OF CUPERTINO Y o t JUN '.10 1964 Q a a D 196_ Permit No.6? 30 \* U ate 7 = LL CITY OF CUPERT' Fee $ ,� SV 0 Application is hereby made to the City of Cupertino for a permit to install gas pipes LL o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes — > N and/or appliances in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws pW li He thereto. a LL Use of Premises 0 F 3 Owner CAJ - Address /oy(, oa J Z By � Address _0 — w Phone w z 0 o State License Z Approved of Appliance I Units Fees Heaters Gas Gas Fired Boilers I 1 11 " �A Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous NAME TYPE) HOUSE GAS PIPING Number of Outlets Gas Piping Fees Tested and Approved —7 r -,-7j DATE f n 7 NO. STREET LOT NO. _ Z2 li .C�EtTFOR ELECTRICAL PERMIT rQ ul ITY OF CUPERTINO UL 6 9964 // / ' / Q Date %— �6 194— Permit No. �� 9 - --- CITY 0— F CUPERT''�' 70 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 the provisions of the Electrical Code of the City of Cupertino, and all othhr laws applicable thereto. Use of Premises 3 a Owner Address WW By _ Address QO CONTRACTOR, AGENT Approved _ U Phone: ��Z `S"��,/ _ EG7R1 rNSPEC'P0� State License:_- \ l 7 RE F INSPECTION APPROVALS Rough Wiring . (1 Fixtures ------------------ - �.....-- --------------- D A INSPECTOR PECTOR Finish Wiring -•--•-------.... ----------- Motors ---- ------------- DATE INSPECTOR R Final/ATE A INSPECTOR - NEW RPL FEES Size Service Conduit ----------------------Number of Outlets..--.------------- ...f...... --..--.-. --.-}.- Size Service Wires..........................Number of Switches ................ .... �.-.-. -.-------- ------.------- Size Service Switch........................Number of Receptacles. -------.--- ---------- ---------- -------------- Size Sub Feed Conduit ------------------Number of Fixtures....-- ----------- -- .........--...... ... .-- Size Sub Feed Wires --- ---------------- Ranges ................ KW .............. ---••----- ---•------ .............. Number of Circuits------------------- Oven .............. KW............ - ---------- ---------- -------------- Number of Meters........................Signs.......... Transformers-.------ ---------- ---------- -------------- Misc........ ..................... .. 1 Motors L............ HP Dryers---------------------------------------- Phase ---------- ------- -- -------------- ...... ti............. Motors -------------------- HP -------------------- -------- ............ Permit Fee Phase ------------------- $1.00 Motors ------------------- HP -------------------- Phase -------------------- H P Charge---------------- ---- ,, TOTAL FEES _ 7 RE F INSPECTION APPROVALS Rough Wiring . (1 Fixtures ------------------ - �.....-- --------------- D A INSPECTOR PECTOR Finish Wiring -•--•-------.... ----------- Motors ---- ------------- DATE INSPECTOR R Final/ATE A INSPECTOR