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/a793 1 _ X Qs'1� i� z Z .. No
NO. f> e
` OPL1CX6io FOR BUILDING PERMIT
CITY
d1 : CUPERTINO
°� Sanitary No._
Date 196_ Permit No.
AppliaitTOY is eb t,,,,y-�a story, Typea
Building
4
to be occupied only as --RX gf
in accordance with Plans, Specifications and Plot -Plan filed 4rewith. A
Estimated Value of Improvements, $ czz? — Fee $
It is hereby agreed that the requirements o the Cu ertino Building and Zoning Ordinances and
all other laws lic to the construction locati n, nd use of buildings within the City of
Cupertino 0 ed with.
Owner Address
By Address
Phon _ Approved
State Licens UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DA"I'E
INSPECTOR
UNDERFLOOR
INSPECTOR
FRAME
j
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
j
DATE
INSPECTOR
FINAL ELEC.
j
DATE
INSPECTOR
FINAL PLBG.
j
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
�0 7 / I b� �` �Sh� c� /��• LOT NO.
NO.
J.
ION FOR GAS PERMIT
OF CUPERTINO
AUG 31 196,
Date fi`" A_, 19s--R� Permit No. C7 C
CUP
Y CP ERTIN Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances 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 applicable thereto.
Use of Premises
Owner
CONTRACTOR, AGEN'P
Phone y- e<' 1--7 ,-3
Address/o % %/�'�'a's't
Addres7d
Approved
PLU BING INSPECTOR
of ADDliance I Units Fees II New
�Y/a1C Heaters
Gas dates
Circulating He
Blower Furnac
Gas Fired Boi.
Warming Ove
Percolators
Griddles
Steam Tables
Gravity Furnas
Suspended Un
Floor Furnace
Mistellaneous
NAME TYPE
Inspected and Approved .. .. .. ............................................
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas. Piping Fees
Tested and Approved . �.....-- ...�..
DATE INSPECTOR
zi
& L,6-�
r 6-1 q�� LOT NO.
_O. STREET
P�ft
_4R APPLIANCE PERMIT
Q , C OF CUPERTINO
Date PIM 13 1962 '96...-- Permit No. I o-3
CITY QP C _ P,� T Nr1 Fee $ � ='
Application is hereby mae i the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accor nce with the provisions of the Plumbing rode of the City
of Cupertino, and /all other laws applicable thereto.
Use of Premises 0
V
PLUMBING
of Appliance I Units Fees 11 New
Wall Heaters � 1
Gas Plates I I
Circulating Heaters I 1 11
Blower Furnaces 11 11 ,. II 1 1
Steam
Suspended Unit
Floor Furnace
NAME TYPE)
In,pected and Approved ------ ................
,i DATE INSPECTOR
• NO. STREET - LOT NO.
ELECTRICAL PERMIT
C CUPERTINO
T 16 1962
Date ! , 19� Permit No. /
PP ��Ts� r [Y �A'dt�t �hp�G''f1j f p pee _ 30
A licat on i her m o i f Cupertino for 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.
J Use of Pre i*-
r.
a Owner
By CONTRACTOR, AGENT
q Phone:
Address
oAddrecs
Approved;
ELECTRICAL INS}ECPOW
Number of Outlets..
Size Service Conduit//A.'_...3 41.oC
Size Service Wires.., e-_D0� Humber of Switches ....-.-#.....
Size Service Switch.-- 0.Q -----.....Number of Receptacles../IL-
Ir
Size Sub Feed Conduit .... P ......... Number of Fixtures ------- P.....
Size Sub Feed Wires��--........Ranges................ KW ..............
Number of Circuits ----.., Oven .............. KW ..............
Number of Meters .......... ............ Signs........ Transformers........
Misc................................................ Dryers
NEW RPL FEES
---------------•-•-
�O
--------------------..............
1 -=°
---------•-------•-- - ------------
/----•-. --•--- ----.
---•-• .............• -•-•-••--•••--
Motors .................... HP .................... Phase .................... Permit Fee $1.00
Motors-------------------- HP .................... Phase ....................
Motors-------------------- HP .................... Phase .................... H P Charge---------------- ---
17 n FEES
CO SPECTION APPROVALS
Rou h Wiring.. . ---
Fixtures ------------- ------- ---------------------------
g
DATEINSPECTOR DATE INSPECTOR
FinishWiring ---------------- I ......................... Motors -----------•--------- ............................
DATE INSPECTOR DATE INSPECTOR
Final..........................I---•-------------------_---
DATE INSPECTOR
N0. STREET. - LOT 140.
®► ELECTRICAL PERMIT
� SEP 191962 CUPEkTINO
Date0 / , 1� Permit No.
_ .
I . CUKRTINO . Fee $ f q 30
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 other laws applicable the
Use of PremitPQ
Owr
By
Phone:
A
A
ri,
• NEW RPL FEES .
Size Service Conduit ._-____w_____________Number
of Outlets ---- ------------ --
AS I
A�O
Size Service Wires -------------------------Number
of Switches ...... ----------
----------
---------- I
--------------
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.�--Gf/tc.�uti.............
Dryers -------/�
.........q
.............
Motors .................... HP --•---------•-------
Phase ....................
Permit Fee $1.010
Motors .................... HP ------------------
.- Phase ....................
Motors .................... HP --------------------
Phase .................... H P Charge---------------- --Q=�
TOTAL FEES
RECORD OF INSPECTION APPj?V Lk
Rough Wiring ----- Fixtures ----1--- — ----/ - - / - ------
ytE C DATE INSPECTOR
Finish Wiring l� Nr _.. Motors ____________
DA ! INSPECTOR DATE INSPECTOR
Final--••---•-------------- -----•-•----------•--•---•--
DATE ;.i + INSPECTOR