2323 IAT No. K1
Z itl" f LA KSTREET t' -
wda�p "W P.LICATIO 0 OR BUILDING PERMIT
xg° } �' GITY Ot CUPFRTINO4110-1
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WAS
F AppIL" As hereby made for a permit to
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'. i m a• story,Type _ -' �- ' 'r .s' Building
to-be oc`¢up*ed only a
I :So o' In ccord ce with Plans, Specifications and Plot-PI ��d herewith. 3.,Q
PWS 3 • Est'mated Value•of Improvements, $ 4006 Fee$
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z.!J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
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all other laws applicable" the construction, location, and use of buildings within the City of
'.( d O Cupe/rti will bec9mnphI
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Approved
State Livens ILDING INSPECTOR
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Remarks (.Cher&�Jal�fl
Type of Appliance I Units ees'l 'SIMINe`w. I Replace ISR'ocaEel
G Gas Ranges I C I
Wall Heaters UNI4
jGas Plates �I
Circulating Heater I I m ji I
Blower Furnaces
`- Gas Fired Boil s
Warming Ovens I I
`:.Percolators I IA
Griddles I im let 11 1
' Steam Tables
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,}Grarnacesvity FuI � 1_ '-'" `
�SuspendedLUnit._, I Ilo11 I
,Floor.,Furnace,';.
i'... ' . I I SII _
Miscellaneous '
(NAME'TYPE)
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p�Fees I I 2 SIS
inspected and Approved .�/r_ y.�j;. ....- �y.-(-�-�.--..'
DATF.f, NSPEC Oa�Li7l�
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OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.........................tl.--2r .......... 196` .
TO
You'are,hereby authorized to connect clectrTal serV,ce for
Owner or Tenant -----
,At ...... ........k-A-
---------- -------
No. of Wires ----- - ------- Size of ... Size of
Motor Load ......................... Voltage ------------------------------- Phase ......... .......................T
Heating Load ........................ K. W- --- - --- ----------------- Voltage .............. .
110...L/.. Service.C
No. of Meters........... ` Rccon�ect.................
Light-�:.... .. 220----A,-. Thm�
No. of Add. Meters......._.:. Heat.. ....Wire..._
..
-----� Move Service.._........
Power...............
Vhas I. ..... Move Meter..............
...............
---------- . ........*---- .. .....
1041/63.500 ELEC�CAL INSPEC6�)
. Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY'FOF C*PERTINO
❑ Sewer Connection Sanitary Permit No. . 7. 1...............
Q/ a' C�2�
Plumbing Final Plumbing Permit No. .........._�:- .........
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Lot A ......._5�.................
Owner or Tenant ..:...`...'u 5,!�! . ....too.,,1(, Qld... f ;�F.l�yj. .�'
At ....t:o:14(�---_t
:....
Tract ................................................ ...'—:...i..--- -----------..............---............---. ............
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Date.�Connected�.....................................------_'...Z.:.3. ...: er :aii,�1g
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...- ...
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Date Final
.PLUMBING INSPICI'0 ,.
Ill 7/63-1M - — 1
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S'OFFICE COPY
CITY QF CUPgRTIN0
.. ........................................ ......................
To
You are hereby authorized to connect the AS servic for
Owner or Tenant I................. .... .....
At ........ .........
..................
New Service
..........................
No. of Meters _..(9-x ...... Reconnect ..............................
Move Service .....
..........
No. of Add. Meters ........ ove Meter ..... i--------
...... ............k ... .......... A—':...............
PLUMBING SP CT
110 6/63-500
—-———————-—
CERTIFICATE c om P LEY 10 k
BUILDING INS E&OR'S OFFICE
CITY OF CUPERTINO
Date ............. ...................... 19�-.e?.... Building Permit No. .N..D.`:.�.
Lotted at ......... . ......... r
The Building ........ Pft.�
..................................................
Owned by ----- .......
...............e....... .......... .1, ...............................................
............ .........................................
Has Been For Use As: ...leted ..7..:.-
(Altered)
......................................................................................................................... .......................
.................................................................................................................................................
.....
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..................................................................... . ..................—
---------------- ...............*...........
BUILDING INSPECTOR
102 7/63.500
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FIXTURES NU, bTR MAIN DRAIN
UNITS FEES UNITS FEES
li Water Heater 1,00 .. Size
Water Closets I.pp -'Materia; C
Bath Tubs yap To Curb+ '
, Showers To Prop. Line — -
Lavatories (/.00 To Existing
Kitchen Sinks C$Z Not Conn.
Dis Washers .0U Sewer Boxes
'Waste Disposals Z <a
W.uh Trays STORM DRAINAGE
Washing Machines / ,GU Size
\\/ater Softeners Material
Bar Sinks To Main Drain
Comb- Sink a Trays To Curb
Den(al''Units ',
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks D4aterial
974 Traps TOTAL FEES
Urinals Fixture Fee /st.oa
Aree Drains Main Drain Fee , 2'
Water Leaders Storm Drain Fee
Sprinkler VaivcsWater Sys. Fee
Permit F e 2
TOTAL / 00 TOTA FEE
RECRCJOF AN ;PECT
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Underground Rough._ b
.Partial Rough..
Rough. Complete.. 7_
Main Drain
Final... G!–
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C & 2 }'22S\THE WORKMEN'S OF CALIFORNIA.
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Remarks^(Check J
Type of Appliance Units Fees II New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Stearn Tables
Gravity Furnaces
FUnit
Floor Furnace Floor Furnace
Miscellaneous '
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets 3 Size of Main '
Gas Piping Fees ILLr
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Tested and Approved ... p.to.f.� .. ...................
DATE INSPECTOR
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