297r � ( LOT NO.
--s
NO. STREET
2.155 APPLICATION FOR BUILDING PERMIT
We CITY OF CUPERTINO
Date C -4L ,� G , 195 Permit No.
Application is hereby made for a permit to
a _—�— story, Type _ Building
at
to be occupied only as C
in accordance with Plans, Specificat' ns a d Plot -P n filed herewith.
Estimated Value of Improvements, $ yFee S
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws appli able to the cons ction, location, and use of buildings within the City of
' 1 Cupertino Iplied
Owner �L> Address
gy _ Address
PhoneoN nc t jrrrr Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
_�
E
INSPECTOR
FRAME
r
A E
INSPECTOR
LATH and PLASTERe4c?
'-
D
INSPECTOR
4
FINAL BLDG.
��
ATS
INSPECTOR
FINAL ELEC.
A
INSPECTOR
FINAL PLBG.
7
DA
INSPECTOR
FINAL GAS
DATE
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..................... ------------------------ 19-- ...... Building Permit No..---:,....../.
TheBuilding Located at / ......................... ................................ ...................................
Ownedby ... ................ ................... ...............................................................................
(Completed)
HasBeen (Altered) For Use As: ................ ................. ............................................
...........
........................................... , .......... ....... ......................................................................
............................. ...................................................................................................................
............................................................................ ... ............ ---------------- ..................
............ :, W .......................................................
BUILDING INSPECTOR
NO. S BEET=E; LOT NO.
ELECTRICAL PERMIT
Date 1954 ' Permit No. L
���Y �F ��pERfiIN� Fee
Applicat s her y 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
• • - : rJ//�/�//.�ih7�-AlrilL�L:/
O.
, AGENT
A
/1
A
NEW
Size Service Conduit--------- ------Number of Outlets ------------------ ----------
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 ..............
I..........
---•------
..............
Number of Meters ........................ Signs ..........
Tran; mers........
I..........
..........
..............
Misc.
Dryers
-`---------------------•----Ij-••-------
----------
•--
Motors --------------------
Motors ---------------
HP -------------------- Phase
•--. HP -------------------- Phase
-------------------- Permit Fee $1.00
--------------------
Motors --•-----------------
HP -------------------- Phase
-•----------------- - H P Charge--------------- ------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring
-•---------•---- ............................
Fixtures ----•------------•---- ---••---------------•-------
Finish Wiri -g
DATE INSPECTOR
--•------- •-----•--•-•--------- ---
DATE INSPECTOR
DATE INSPECTOR
otors -----
�/ -
: j BP�
Final ��7
....• I = �.t
• ....
DATE INSPlCTA
I, the urders�ned do hereby cortii'"y that I am
the owner and oc uPant of the single family dwelling at
for -Which I am malting
application to do ! c work as a home owner.
I also certify that I will n
L2C1 2 / C 3D� contractor,
_.. IK
TELES � ON -E NUMBER
of hire any non -licensed
but will o is w k myself.
d 4s
GD1AT �'