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ca` LOT NO.
NO. STREET
Z 10-M FOR BUILDING PERMIT
Date
I-FlIFEB 21 11953 1196_
A
a story, i y
to be occupied only as—�
in accordance with Plans,
Estimated Value of Improvements, $
CUPERTINO
Sanitary No.
wlm.
Fee $ �J ♦ Gy
It is hereby 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
Cupertino _com�pl' d with.
Owner—L— — A
Phon �jL Approved
State License T\ BUILDING INSPECTOR
V
RECORD OF INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
DALE. INSPECTOR
DA"1'1i INSPECTOR
FRAME
DATE _
INSPECTOR
LATH and PLASTER
4
DATE.
SPECTOR
FINAL BLDG.
y
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
NO. STREET LOT NO.
""'FOR ELECTRICAL PERMIT
Cl OF CUPER INO
FEB 21 9953 t" ''
Date , 195— Permit No. 1910 dip
CITY. qF CUPERTINO Fee $ 3Application isereby 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 other laws applicable thereto.
Use of
y 070
CO PEM,
NEW
Size Service Gonduit........................ umber of Outlets_ --------------- _-_.-----
Size Service Wires ........................Number of Switches ---------------- ----------
Size Service Switch --------------- _-------- Number of Receptacles ............ ..........
Size Sub Feed Conduit .................Number of
Size Sub Feed
Number of Circuits------------------- Oven ........... 6
Number of Meters ....................... Signs ---- /..
Transformers..._ ..---.-.------
•. '
Misc------------------------------------------------ Dryers ----------------------------•-------...
---- ------....----
-------------
Motors ____________________ HP -------------------- Phase ....................
Permit Fee
$1.00
Motors --------------- ---- HP -------------------- Phase ....................
Motors -------------------- HP -------------------- Phase ....................
H P Charge ...............
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring ---------------- ----------------------------
Fixtures ..... ------•--------- ----------•---------------
DATE INSP9CTOR
DATE INSPECTOR
Finish Wiring ------ . ......-•
Motors ---------•--- --------- ----------------------------
DATE INSPECTOR
DATE INSPECTOR
Final ----- -----------
DATE INSPECTOR