NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.,.e-100.9
Sanitary No.
Data 196 —
/ App[i cation is6tz
de for a permit to
a story, Type
t � he occupied only ns
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Ow ner ) Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote � 196 6 FEE$ �(J � �.{/
Cont. J r Address,441 C/ /�_- c 4,s�t
Phone State License 1r,,,,,I Q�_(0 Ate
Approved E/''}}' ""^"��
APPLICATION FOR PLUMBING & GAS PERMIT v U
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 t
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Ins pe ctor
UNDERFLOOR
FRAME Date Inspector
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRICAL
.OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
FIXTURES Date Inspector
H•
ERMIT FEEMotors Do a Inspector
D Spector
TOTAL FEES FINAL /1 i
IS Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I 1.0mATERIAL—f
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 FINAL Date Inspector
PERMIT FEE MISC Date Inspector
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
Date i Inspector
ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE
145 ...... .......CITY OF CUP NO
5 f 19 .
To
You are hereby aut4tot a ric service fofOwner or Ten .... ........................ .. ....... ...... .. .... .......... ...At ................. .. ........................... ......... Siof Switch ....:...............
No. of Wires ........................ Size of Wires*.I O ze
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. ................ .............. Voltage ................................
No. of Meters...�............... Ltght............... 110....... .. New Service................ Reconnect..................
No.of Add. Meters............
Heat................ 220... ... .. T W' ................ Move Service............
Power............... P ve Meter..............
................................. ........ .. .................
ar_ernuc INS ecroR