NO PERMIT NUMBER °% )
103_ I w, Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. �� Q
Sanitary No.
Date 196
Application i here made for a permit to
a story, Type
•oto be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ �J Plan Check $
Owner 42444LB - J' Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
s//,
Date 196 v FEE$
Cont,. Address
Phone �.20 7—,?e/If Store License •S
s� V'&'� � 3
Approved ( -
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone `S#nte License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Califarnin -
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Dote Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Data Inspector
FINAL
Date Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND -
+
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
M.P CHARG Date Inspector
FIXTURES
Dat Inspector
_P RMIT FEE Motors
D t
'TOTAL PEES FI
� NAL specter
ate Inspector
PLUMBING & GAS v
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I LIATERIAL
WATER SYSTEM SIZE IATERIAL
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
Dote 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 r
Date Inspector
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY 91Z CUPER 0
111
... .. . .. .... ........ 1Z
TO
You are hereby a or 0 con
ect-elect ca ..c f r O-LAd
Owneror Tenant .................... ...... .... .......... ... .. ..... ..............
/ c) 3-3 3
..
At .......... .......................... ..... ....... ............. . . ...................... ....
No. of Wires .............. Size of Wires ........ ........... Size of Switch
Motor Load .......................... Voltage . ...... Phase ...—............. .
Heating Load ........................ K. W. ........................ ...... Voltage ......... ....
h 110...._...... Service......._....... Reconnect-_...._..._....
No. of Meters....
Light
r: ne... Move
Service............
Heat220............ h M S
No.of Add. Meters....--...... Mete
Power.............. .......
.. .. . .. ............... ..I .......—.. ......
ELECTRICAL IN E OR