2675Y0 f S LOT NO.
NO. STREET
WZ 1 A N FOR BUILDING PERMIT
Y o OF CUPERTINO
0 - Sanitary No.
OCT 8 1963 S--
= LL Uate , 196_ Permit No.
�o
LL~ n t li c� 'fb� a permit to h K
ztn av1�� n {ttl �� rsX ��r/� Bui g
W T to be occupied only as 1,7'
0 o in accordance with Plans, Specifications and Plot, -Plan filed herewith. 0 0
F3 Estimated Value of Improvements, $ `�`� O Fee $ ti
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Zall other laws applicable to the construction, location, and use of buildings within the City of
J O Cupertino will be complied with. RJCJy
3 c«o E
_ LO Owner GERgL /v Address "5'0-"IJL
W
W W ,Sy.C7c='�t.e a� Address 104 40,
a 0 Phone_Z6:3— 444?Z Approved
0 State License /ly BUILDING INSPECTOR ,/L/
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
1 0 - Y -v - 3
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
r '
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
INSPECTOR
FINAL GAS
DATE
INSPECTOR
STREET LOT NO.
NO.
Y) Q
w Z
O OR ELECTRICAL PERMIT
O J
Y
Q LL C OF CUPERTINO
a
wLL ! OCT 8 1963
LL o Date , 195— Permit No.
° a CTX OF �Wt�RTIVOeea ALi pp Icatlon Is hery ma to t 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
00
N City of Cupertino, and all other laws a/licablethl�to.
z _jUse of Premises �rG/L�,1C • e�GGl� Ac2i,
J z
J O
3 Owner��cRAt o L �Dt E
a
W zx' By
L, w
Cr
0 E 7 CONTRACTOR, AGENT
a U Phone: �s 44 Z
;State License-
Address W440 L-_ EsrArEs D.Q.
Address
Approved -21,
ELECTRICAL INSTECTM
RE -- -- ..__ F INSPECTION APP
h Wirin
g � b
Rough ._....-Y-� .. _._ ----------- Fixtures ---------- --------••-----------------------
DATE.....INSPECTOR DATE INS ECTOR
Finish Wiring •• •...... Motors
DATE INSPECTOR ��� , CTOR
Final / =� ...... t��+
DATE INSPECTOR
NEW
RPL
FEE)
Size Service Conduit ---------------------- Number of Outlets .................. ..........
_... �
.. _.._.- ----
Size Service Wires..........................Number of Switches ---------------- ----------
__I_._..__._---`_�z-f1
Size Service Switch ------------------------Number
of Receptacles ............ ..........
... ----
---!-V-----
Size Sub Feed Conduit -----------------
_Number of Fixtures ------------------ ----------
--- �_..._
..........
SizeSub Feed Wires ....................
................ KW -------------- ----------
------•--•
----•---------
Number of Circuits ...................
Oven -----------•-- KW-------- --....---------
--........
..............
Number of Meters ------------------------
Signs .... ...... Transformers ........ ..........
.... ......
.________._-_-
Misc-------------------------------------------- ---
Dryers....... ------- ---------------------------•-----•
----------
•---------•---
Motors.................... HP - ------------•---
--- Phase ----------------- Permit Fee
$1.00
Motors .................... HP --------------------
Phase ....................
Motors -------------------- HP -------------------
Phase --------- .-----... H P Charge------
---------••--•---
�-o d
TOTAL FEES
RE -- -- ..__ F INSPECTION APP
h Wirin
g � b
Rough ._....-Y-� .. _._ ----------- Fixtures ---------- --------••-----------------------
DATE.....INSPECTOR DATE INS ECTOR
Finish Wiring •• •...... Motors
DATE INSPECTOR ��� , CTOR
Final / =� ...... t��+
DATE INSPECTOR