NO PERMIT NUMBER LQ,?d, I Lot No.
No.. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Date t` �� 796
Application is 4ereh made or a permit to
r
story, Type
151K
occupied only a,s
in accordance with plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEES /�� \ Plan Check $
n
Ower ills�J 'S�a=�J"►�� Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES '�zin
Contr L.
q5 p � Address s7-do
Phone State License /J-00
Approved If
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
Workmanrs Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspectoi
UNDERFLOOR
FRAME Date Inspector
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Da to I ns as c tar
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
/H.P, ARGE � FIXTURES Date Inspector
rI
Date Inspector
PE IT FEE Motors
e Inspa
TOTAL FEES � FINAL ctor
Dor Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I u TERIAL
WATER SYSTEM SIZE iTERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Date Inspector
WATER SYSTEM FEE GAS PIPING Date Inspector
GAS PIPING FEE FINALDate Inspector
'
PERMIT FEE MISC Date Inspector
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 TOTAL FEE
I
INSPECTED
Date Ins pe c tar
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPE7rOff^
.....................
TO
You are hereby auth ri co ecL elect cat ervice for
Owner or Telant. ........ ...... ... .. ...... ... ........... ....
At ............
.o2 .. ..................... ......
No. of Wires I... .... Size of Wires ...................... Size of Switch ...........
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. ......... . . ..... Voltage ................................
Light110............ Reconnect..................
No. of Meters.... 220........ Move Service............
No.of Add. Mete
Power.............. him Move ter..............
....................................................... .. ..... .......
ELECTRICAL INSP VOR