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2792
LOT N��O77. ff///A/ NO. STRE CJ 7d Ul Q W Zi�4'NOV APPLICATI H FOR BUILDING PERMIT �z oCI 1' OF CUPERTINO rG o 22 1963 ,�„a; Sanitary No. 3u W LL Date �L?t�1���—, 196._ Permit No. C2 7 moo:.- o F Appcati6tthis u,41 ' yiMiAde for a permit to a z to a story, Type -Z o Building Lj to be occupied only as l / Q� 0 o in accordance with Plans, Specifications and Plot -Plan filed herewith. V) Estimated Value of Improvements, $ X COQ Fee $ S% �3 P � 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, location, and use of buildings within the City of o Cupertino will be co` 11 d with. 3 y Owne (�C Ql•%? Address ' .r 4 sz W Z W W By Address � ¢ a �f a U Phon .� o6) Approved State License1 4 BUI ING INSPECTOR RECORD OF INSPECTION APPROVALS FOUNDATION UNDERFLOOR FRAME (:L:A:�Tind PLASTER FINAL BLDG. FINAL ELEC. FINAL PLBG. FINAL GAS DATE NSPECTOR DATE INSPECTOR DATE. INSPECTOR 71 DATE INSPECTOR N 00 0 v u N - , 11 NO Tract 13150 LOT NO C•� . 121 NO. 21NO. S 0 D TL.OR APPLIANCE PERMIT 4MAR 1 o 196 T OF CUPERTINO Date 3 March 196_x_ Permit No. �o CITY OF CUPER Fees Application is hereby made to the City of Cupertino for a permit to install gas Rppliances 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 Res Ward CrumP Den. Address P. 0. Box f6�__ Bj779 CLD COUNTY ROAD Address SAN CAkLQTp1�11�GBNr Approved Phone LT PLUMBING tNSPBCTO Type of Appliance Units Fees Remarks (Check -7)I New I Replace I Relocat Gas Ranges I I II Heaters I 1 11 I 1 _Wall Gas Plates I 1 11 I 1 Circulating Heaters I I 11 I 1 Blower Furnaces 1 1 1.0011 1 1 Gas Fired Boilers 1 1 Il 1 1 Warming Ovens 1 I II I 1 Percolators ( 1 1 1 Griddles 1 I 11 I 1 Steam Tables I I 11 Gravity Furnaces 1 I II Suspended Unit I I II+ 1 Floor Furnace I I II II ii I Miscellaneous 1 I NAME TYPE) i I II Fee 1 1 2.0011 1 Outlet 1 I3.0011 1 I. H. Vent 11 I tern Ven I I _ II pp Lance Fees ! . Inspected and Approved ...�iq-,�.-.,(—.C-<-k ,,,,_...................... E INSPECTOR /J4ee� LOT NO. NO. STREET PL-1eA JIFTUPERTINO OR GAS PERMIT D �YN111��4 DatPermit No. e —. rrV�/ Fee- $ �' 4�1 tioQ h" Ito the City of Cupertino for a permit to install gas pipes and/or gas appliances as listeon 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 �ES/D��✓�E Owner M/ 'ewe a&zz"/7' By �iP�u�C � Y (01 CONTRACTOR, AGENT Phone Ai �- 6 - 7v 6 do State License / < 6 Addressf�/j/U4 Address %L%>/V /`Zj,4C Approved r PLUMBING INSPECTOR Type of Appliance I Units Fees 11 New Boilers Ovens NAME TYPE) HOUSE GAS PIPING -e Number of Outlets 4 lize Main Gas Piping Fees Tested and Approved...... .. . ` ....... /....__..................... DA E INSPECTOR //O z 1.' �� `r LOT NO. J Z I NO. OR PLUMBING PERMIT rIJAN 14 19ffyFOF CUPERTINO Sanitary No. Date `� �' .196_ Permit No s Fee $ /S O 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 Premises Owner Address By ���OC.c �C ✓ �© Address ?�T/iz � t TRAC`TO �AGGEENT Phone !� f - v — yy'y 0 State License Approve PLUMBING INSPECTO UNITS I FEES 11 1 UNITSI FEES Water Heate Size A z of Water Closets 2 Material Gr - tiara i ubs ) I o t -um / Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. ish Washers Sewer Boxes Waste Disposals , as'h Trays STORM DR Washing Machines ) Size Water Softeners Material Bar Sinks To Main Drain Comb. Sink & Trays To Curb Dental Units Drinking Fountains Floor Drains WATER SYSTIE Hoppers Size urinals fixture tee O100 Area Drains Water Leaders Main Drain Fee Storm Drain Fee Z o 0 Sprinkler Valves Water Sys. Fee Permit Fee , TOTAL TOTAL FEE RECORD OF INSPECTION Underground Rough... , ?-5/ Partial Rough__ — 3, Rough Complete.. S -- Main Drain v Final... ��_ STREET - LOT NO. Pt, &T1 R ELECTRICAL PERMIT ��""`�' cuPExTlrlo A 964 c� Date , 195— Permit No. / (�`��/ (�� �) I��RT ^fin Fee S / J AppliLAtl is �E#eby'�hidde`tti `the Ciit 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--zq other laws applicable thereto. Use of AGENT 'V-- VL Phone: `� 1 y State License: `Gr � Address ' Address -011 Approved ELECTRICAL INSPECTOR • %(�i NEW RPL s Size Service Conduit ---------------------- Number of Outlets .................. l_f .......... Size Service Wires -------------------------- Number of Switches ................ .._ O....... ----- Size Service Switch ------------------------ Number of Receptacles ....... _---- ____ -).._ .......... Size Sub Feed Conduit..................Number of Fixtures .................. 1 �/ Size Sub Feed Wires...................Ranges................ KW -------------- I---------- Number of Circuits------------------- Oven .............. KW .............. ---------- FEES 7C Number of Meters ........................ Signs ....... ... Transformers....._.. ---------- Misc................................................ Dryers ........................................-------------------- .... .. -'.7r Motors -------------------- HP -------------------- Phase ------------ ....... Permit Fee $1.00 Motors -----• - - HP--------�.ff... Phase ---------------•-- Motors ......._------. HP---...1�.. ...--_. Phase .................... H P Charge---------- •---- . I / I /, TOTAL FEES 1/-� CORS OF INSPECTION APPROVALS Rough Wiring . _ .. !.. -:.. •-, //c ..F......_....-•-------- Fixtures ---------------------- -- ----------•-•------..... D T6 INSPECTOR DAT INSPECTOR Finish Wiring................ Motor. ..�..- ■- - �--- --...---------------- DATE INSPECTOR ,DA \ INSPECTOR Final � _�` .- .......... .... ....... . .. ••... -•--•--- D TE INSPECTOR