2767�o?4 Sf 4e ell�ow adzzr e �o
NO. STAE T - LOT NO.
D t. R ELECTRICAL PERMIT
'S t MAY 22 1964 �10F CUPERTINO
MAY 2p19
Date 'htn 195_ Permit No.
Fee . / D
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 thereto.
Use of Premises
Owner
By —
rn6kf FtNIA
Phone:
State License;,—Q�
Address
Address
Approved _.
ELECTRICAL INSPECIM
Phone ELgato 6.4422
NEW
RPL FEES
Size Service Conduit.'�.�.�.......Number of
Outlets ..............__ _...:
vim/
_.. .
Size Service Wires- .._:Vo----------Number of
Switches ---------- -------��...:........--
_............
Size Service Switch—! �. 1.09._Nurnber of
-Receptacles-. .......... .._z
----------
--------------
Size Sub Feed Conduit ----------------- of
Fixtures_._......_..........._--
----------
_p��
Size Sub Feed Wires ----- --------------- Ranges --------/-----
KW.------------ ----------
----...--
-----'----
Number of Circuits------------------ Oven --./
------- KW._...------- -... ......
.
Number of Meters... � ................Signs..........
Transformers........ ----------
----------
d
/..._-
Misc---------------.........------ --------Dryers....
Motors ----I�--------. H _ Phase --------------------
..... .-------------- -------
----..._.
---�--`7s
Motors -------------------- HP .................... Phase ..
Permit Fee
$1.00
4 Motors ------------------- HP ....... ........ Phase ..................
H P Charge------------
TOTAL FEES
f d ECORD OF INSPECTION APPROVALS
''
/
Rough Wirin--r1--' -=1....................-------
Fixtures -----------------I-----
---
DA I- ` INSPECTOR
Finish Wiring ----.....1._---- ------------------------?Mto,Q......----
DATE
------ -I....
INSPECT. -
---'---"--------
DATE INSPECTOR
/ IATAP. I
Final ------_.._.....
IMSN C.
....---
DATE
INSPECTOR
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F] Sewer Connection Sanitary Permit No. ...... ._411o2-(e-----------
dumbing Final Plumbing Permit No. -----------
Lot No- - -
2
Owner or Tenant . . ............
At .4---------------- -................ -------------------
Tract ---------- -
Date Connected ---- ------ -..:7,s -,2 ----------------- -- -- - --------------
.7---------- ---------- - - -------- - - ------ - --
DateFinal --------- ---- ------- ------------ . ........ ..... ............. ------------
-------------- - - -------
PLUMBING ,INSPECTOR
1ll 7/63-1M
2235 3 /\"tcF/Si�c /7c' ' Lor NS.
NO. STREET
fro'?
N FOR PLUMBING PERMIT
< �1 Y OF CUPERTINO _,,,�.�rz � /1'' Sanitar Nu.Date Jtl� 2U ' 196 Permit No. 7
3� Feeffi �� ago
° Qgiflcatldd is CUP)EU o'tthe City of Cupertino for a permit to install plumbing
'o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
V)
Cupertino, and all other laws applicable thereto.'
W I
ii
S Use of Premises
0W c�
r Owner /�/' ,Las SCi/"� Address
J� yf
z By�h/,�.�'� �'/ �`",Yf"e4' Address
° CONTRACTOR, AGE �-
3 �
— 0 Phone S l — aft
W2
W W
I State Licensef 770 U A e
a O
PLUMBING INSPECTOR
1"
FIXTURES
UNITS FEES UNITS FEES
Water Heate Size
Water Closets Material
Bath Tubs J To Curb
Shovers ;3 To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash-Trays STORM DRAINAGE
Washing Machines ( Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink s Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size •i
Restaurant Sinks Material
San Traps TOTAL FEES
Urinals Fixture Fee moo. CG
Ar_
ea Drains Main Drain Fee �2,0 Q
mater Leaders Storm Drain Fee
Sprinkler valves Water Sys. Fee , p
Permit Fee '2-00
TOTAL ��� o TOTAL FEE 0
RECORD OF INSPECTION
Underground Rough...
Partial Rough.. -a]-
Rough. Complete-
Main Drain
Final... — G