2887I.OT NO.
NO.
w Z
Ft
TQN FOR BUILDING PERMIT
N OF CUPERTINO
FEB 2 5 1964 LJo a Sanitary No.
SV p•
= LL Date 'S 196 _:�f Permit No. �o
o c ( YJ{ n' ,
4 �
oicaU is WAR eS(gr';i
Q 1.f
Z V)a�_ story, Ty Building
W
to be occupied only as
oo in accordance with Plans, Sp ificationS and Plot -Plan filed herewith. o0
F 3 Estimated Value of Improvements, $.�Q1 Fee $ 65
�..
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
o Cupertino will be complied with.
3Q
_ aOwner xt,*CA �ld R F T T AddressJoPS �4�yt s OR
Ir a B02 y C 2' Address Y Id"
4
< U Phone -12T_- � 2Approved
State LlcenS r Z7_ DING INSPECTOR
.7"
RECORD OF INSPECTION APPROVALS
FOUNDATION
DA -1 P.
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE:
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
0' �� •
DATE
INSPECTOR
FINAL ELEC.
J
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATEINSPECTOR
a
v
r�
v
Its
LOT NO
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date �� 0 196X_
®1- L1 -E,..61
Permit No. I6 a7---
Fee
S ' G Q
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.
Use of Premises �� U . _
Owner /`�' _ Address," 9 8S — &%^A
By ✓ CM B R Address 7.?S415 AlZ45K 1AY&
CONTRACTOR, AGENT S /r Tlejo
Phone --2 9�' S�If Approved
PLUMBING INSPECT
'Type of Appliance Units Fees jj New j Replace j Relocate
Gas Ranges j j jj j j
Wall Heaters j j jj j j
Gas Plates
Gas Fired Bc
Warming Ov
Steam Tables j
Gravity Furnaces j
Suspended Unit j
Floor Furnace j
Miscella eous j
NAME TYPE)
Inspected and Approved/.O.*.�Ar f ✓"......
DATE INSPECTOR