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NO. STREET
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Y
F I ATION FOR BUILDING PERM
IT
o0 CITY OF CUPERTINO
o 3 aSSanitary No.
U 'EP 42 1963 komlw�
S—�
i U. Date 196_ Permit No.
�0 1
A catipi i4 y n-Md"e for a permit to
LL W I J
CITY s:
a tin a story, Type 5` X 6 Building
W
I to be occupied only as
0 o in accordance with Plans, Specifications and t-Plan filed herewith. / 00
F- 3 Estimated Value of Improvements, $ Fee $
zJ 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 complied wit
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_ a Ow er �rOet" G T Address .���uR o f Q r�a
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n State Licens 4' / BUILDING INSPECTOR
RECORD
� O IIVSPECTI APPROVALS
FUNDOATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME I
DATE
DATE, INSPECTOR
FINAL PLBG.
a
LATH and PLASTER
INSPECTOR
FINAL GAS
INSPECTOR
2
Iii" kleme
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATF.
INSPECTOR
LOT NO.
NO. STREET
4CATION FOR PLUMBING PERMIT
d ; CITY OF CUPERTINO
z z L..,'�
Yo Sanitary No.
o a Da / 196_ Permit No --2U
3 _
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w � Fee $ o
pp at�' {is e ��,j to the City of Cupertino for a permit to install plumbing
o a pip d/Difixt t'r lL tt= 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
a W Cupertino, and all other laws applicable thereto.
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20Use of Premises
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Address' -fu--& 2'UZf�✓
�Addres�
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Approved
R�
I UNITS I FEES II 1 UNITS 1 FEES
Water Heater
Water Close
IC
ries
U h Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
',.Vater Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Water Sys. Fee
DSmking Fountains
Permit Fee
Floor Drains I
WATER SYSTEM
TOTA FEE
Restaurant Sinks
Material
San Traps
TOTAL FEES
Urinals
Fixture Fee Lj
Area Drains
Water Leaders
, 1�_'
Main Drain Fee
Storm Drain Fee
Sprinkler valves
Water Sys. Fee
Permit Fee
TOTAL
TOTA FEE
RECOW,6F
JISPECTIbN
Underground Rough...
.Partial Rough..
"j
Rough. Complete..
Hain Drain
Final_
t3 De-���s o�
NO. STREET LOT NO
ELECTRICAL PERMIT
` CUPERTINO
24 1963
Date1'1'�EP
Z- , 199�t� Permit No.
1'—
Fee pr
APPlicCtIionis heeleyemYafe PIMP' of Cupertino for ermit
—
to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordan(e with the provisions of the Electrical Code of the
City of Cupertino, and all other ?aws applicable thereto.
Use of Premises
Owner Jet — rr Address
gy�N____Tyr� Vim -Address
CONTRACTOR, AGENT A pproved
Phone: F A 19P S -4--T7
10
State License:
NEW RPL FEES
Size Service Conduit......................Number of Outlets .... .............. .... 1-----
Size Service Wires .........................Number of Switches ................ I ..�.
Size Service Switch -------------_------.--Number of Receptacles ----- .------ _-.--.-__-
Size Sub Feed Conduit ------------------Number of Fixtures.. ................ ....
�..._
Size Sub Feed Wires -------------------Ranges---------------- KW -------------- ----------
Number of Circuits------------------- Oven ---------•---- KW -------------- ---------- ------••-- -----_------
Number of Meters ........................ Signs .......... Transformers-..(.-. ---------- ---------- .--i_7,57
Misc------------------------------------------------ Dryers ........................................ --------------------..............
Motors ....... t............ HP ------->V Phase -------- --------
l----- Permit Fee $1.00
Motors-------------------- HP --------------•---- Phase ..................
Motors -------------------- HP -------------------- Phase ---...------...----- H P Charge ---- ----------- I : 107
TOTAL
RECORD OF INSPECTION APPROVALS
Rough Wiring ---------------- ---------------------------- Fixtures ---------- ---- --_ I -------
DATEINSPECTOR DATE NSPECTOR
Finish Wiring .. ---- Mot --- ---- ---------
DATE INSPECTOR T ECTOR
Final -
D E INSPECTOR