51009 /o3,:2 Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. J1009
Sanitary No.
Date s 196
c�—�9-Application is rehy made fora p mit to
-r J�—r 1z >���—�i0tory, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Valae of Improvements $
FEES Plan Check $
Ov,,.er Address
Comr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date `s 1966 FEE$ 'j'-z43j
Cant- Address u/ � �'^
b4AA- -A
Phone .2-f7- 8//sp State License
Approved -
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING. . _
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Ins pector
LATH & PLASTER
Data Inspector
FINAL
Dote Ins oe c for
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
FIXTURES FINISH WIRING Date Inspector
H. . CHARGE FIXTURES Data Inspector
ata Inspector
RMIT FEE Motors
I ' D t Spector
TOTAL FEES FINAL
D to' Inspector
PLUMBING IGAS
.MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE 19dwTERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE.. PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
GAS PIPING FEE FINAL Date Inspector
Date Inspector
PERMIT FEE MISC.
Dote Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Do to Inspector
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............ 196�
To
You are hereby aut ori t ece-el s rvice f r
Owner or Tenant ..... ... ....................
--*..... ..... .......... . ..................................
. ......
... .. .... .. . ...................... ...... .................. ..
At ........ ....... .......... Y( -W� -�o
No. of Wires .... ...... . .. ... Size of Wires ...................... Size of Switch ....................
MotorLoad .......................... Voltage ......... . ......... . Phase ... ---------- ... ... ...
Heating Load ........................ K. W. ....._.................. _..... Voltage ------—
No. of Meters.................... gh Sm
Li "0 ..... Reconnect..................
No.of Add. Meters............
Heat.......... 20 h .. ...... Move Service............
Power.............. m e.. Move.
ov e eter..........
........ ... ..... ........................ w..... _ . ........ ..
ELECTRICAL IN ECT 0