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1109LSC Oaa 1�jglei? / �l/ LOT NO. NO. TREET FOR BUILDING PERMI OF CUPERTINO Z� Dat /MAR 1 W -195— Permit No. _AnnlicatiDn. is hereby made for a permit to ti C�— at to be occupied only as s= in accordance with Plans, Specifications and Plot -Plan filed herewith. OC' v Estimated Value of Improvements, $1©� Fee $ C 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 a Cupertino will be complied with. Ow Address_X gy ' / u Address / CONTRACTOR, KGENT 3- ✓ Phone Approved BUILDING INSPECTO RECORD OF INSPECTION APPROVALS FOUNDATION FRAME fLA�THd PLASTER FINAL BLDG. FINAL ELEC. FINAL PLBG. FINAL GAS DATE INSPECTOR N9, a v LOT NO. P L TION FOR GAS PERMIT DN TY OF CUPERTINO IMA Im ` Date �� , 191/ L— Permit No. CITY OF CUPERTINO 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 v Ow r Address _ By &AtL UAddress CONTRACTOR, AGEN Phone ' c t, Approved PLU BING INSPECTOR Tvpe of Appliance I Units Fees 11 New Gas Ranges Wall Heaters Gas Plates s Fire( arming Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous NAME TYPE) Inspected and Approved ....!. DATE INSPECTOR HOUSE GAS PIPING Number of Outlets Y Size of Main Gas. Piping Fees Tested and Approved ........................ I ............................................... §)ATE INSPECTOR C) -2- I o NO. STREET LOT NO. APPLICATION FOR :APPLIANCE PERMIT CITY OF CUPERTINO �l�'U 19b .. 9a Date_,, ? 19<----• Permit No. Application is hereby made to 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 accordance with the provisions of the Plumbing rode of the City of Cupertino, and all other laws applicable thereto. v c Use of Premises in Owner //^�i1 �'L"`"� Addres By Address H GEN UM & SHE METAL R�0. A rov ` iso rP PP PLUMBING INSPECTbKj Type of Appliance Units Fees II Remarks (Check: J) New Replace Relocate Gas Ranges Wall Heaters Gas Plates Circulating Heaters Blower Furnaces Gas Fired Boilers I �� Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit II Floor Furnace Miscellaneous NAME TYPE) I II Appliance Fees Inspected and Approved ----- -------=---=- DATE INSPECTOR LOT X70. T O A N FOR PLUMBING PERMIT' } TO , OF CUPERTINO 1 MARS 1 %D �7 Date 195— Permit NO.� CITY OF CUPERTI Fee $ /70 a v 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 provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Use of Owner B `�. y CONTRACTOR, ,AGEN'd Phone — Address Address L �t " L' { Approved PLU BING INSPECTOR Restaurant Sinks Sand Traps -Material TOTAIr PEES Urinals --FTX—TURES NUMBER MAIN DRAIN UNITS FEES II 1 UNITS I FEES Water Hr, iter r I 11 Size ` Water Closets I ; ,tm �� Material Bath Tubs I I l Go I� To Curb Showers To Prop. Line Lavatories Kitchen Sinks I I Dish Washers ( l Cv �� / &V �I To Ex ing / N Conn. Waste Disposals 1 j ft Wash Trays STORM DRAINAGE Washing Machines j--T—j ( ft 11 Size Water Softeners �g� �� Material I Bar Sinks To Main Drain Comb. Sink & Trays To Curb I Dental Units I Drinking Fountains � II �I Floor Drains �� WATER SYSTEM Hoppers I I II Size i 4 I I Restaurant Sinks Sand Traps -Material TOTAIr PEES Urinals I11 Fixture Fee Area Drains Main Drain Fee Water Leaders Storm Drain Fee Sprinkler Varves I I II Water Sys. Fee Permit Fee TOTAL Partial Rough Rough•C plete Final TOTAL FEE RE ORDAF I PECTION Z Cupertino Sar%itary Offic- Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. ........ 0 Plumbing Final Owner or Tenant ..... ........... Plumbing Permit No. ........... Lot NN ........... --- ------- ... -- ---- ------- sw--/ -------------------------------- raCL --------- - ........... -------------------- ------------ ---- ---------------- ---- d," ............................ ��" Date Final -</ --------------------------- ------------------------ 9_.-41 Date Connected ------- - ---- ---------- ........................ .................................... /7//,? ---- ----- - ?/ ................... ............................ PLUMBING INSPECTOR 111 1/60-500 4.-1 NO. STREET • i LOT NO. APPLICATION FOR ELECTRICAL PERMIT OF CUPERTINO O= i q (� / Dat _ , 1_ Permit No. IVIRTX %JFee $ Application is herxpp'Sor� ity of Cupertino for a permit to install electrical wirir1 /o0ixtu4�l��JJ�P""s ed on the reverse side hereof, and agrees to install said wirin an /or fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and all other laws applicable thereto. v Use of Premiseq N C ;.a Owner 1 45/W CONTRACIT/OR, AGENT ' U hone: T/'7� /Z",D.� Address Address Approvg� ' // ELECTRICAL INSPECrit- 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 -------------- ---------- ---------- -------------- Number of Meters ........................ Signs ---------- Transformers ........ .......... Mlsc................................................ Dryers---------•--------••-•-•----•--•--•----- .......... -----•-••--------------- Motors .................... HP ---•---------------- Phase .................... Permit Fee $1.00 Motors.................... HP .................... Phase .................... Motors .....-------------- HP -------------------- Phase .................... H P Charge ---------------- -------------- TOTAL FEES i C INSPECTION APPI�O A Rough Wirin_. __ ............. Fixtures _. _ -XOR------- D T CTOR EFinish Wirin�..�._. �. ...______._ otors __ _ .�. _��__�__TL INSPECTOR EFinal ..-Le�...l--------- DATE R