NO PERMIT NUMBER /03 IAze, Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Fila No.,.f—! U 09,
i
Sanitary No.
r
Data `'� � 196
/ Application is ere )' ade for a ermit to /
story, Type
o be occapierl only os /
in accordance with Plot Plan, Plans and Specification fined herewith,
Estimated Value of Improvements $
FEE$ Plan Check f
Owner 1��, Addiess
Contr. Address
Phone State License
Approved
I
7
APPLICATION FOR ELECTRICAL PERMIT
Date v 196 6 FEES
r/ d'X
Cant- Address SO A// Y-44
Phone State LicenseIs
�-o 0.63`
y^
Approved [ e- !" ' <
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE f
PLUMBING FEE $
Cont,. 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 t '
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
" FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Data Inspector' '
FRAME
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Ins as c tar
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
rPH.P. ARGE FIXTURES Date Inspector
Do a Inspector
ER IT FEE Mota Inspector
OTAL FEES FINAL
Dae • Inspector
PLUMBING 8 kis
MAIN DRAIN SIZE. I MATERIAL
STORM DRAIN SIZE TERIAL
WATER SYSTEM SIZEATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector -
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date 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 %r TOTAL FEE
INSPECTED
Date Inspector
OFFICE COPY
9-v-� CITY
45e, ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
OF CUPS O C
To
You are hereby thori d to co t ri service for
Owner or Tenant ................. . .......... ... ._.. .....
�o. ................................................... .... ..................;�........
No. of Wires ........................ Size of Wires .........1........... Size of Switch ...........d...
MotorLoad .......................... Voltage ..._............... ........... Phase .........................._......
HeatingLoad ........................ K. W. ................. -. ......--.... Voltige ................................
Light...............h' "0
.. Ncw itt.............._ Reconnect..................
No. of Meters....................
Heat................. 220...... ... Thr re......-......... Move Service............
No. of Add. Mete rs..........-. Move Meter..............
iPower............... T
........_..._..........._ ................. .�...�......t\\._....�. .........
et.ecru l IN PECTOR v�