NO PERMIT NUMBER /9�a �+I YT'pt, /�//�.6NR.� Lot No. ——
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO r�''
File Nov/
Sanitary No.
.Date C- 011 1961r-�
Applicatio is herby made for a permit to
J2't al —D $—P a story, Type
.
to be occupied only as
in accordance with plot Plan, Plans and Specification filed herewith.
Estimated Valae of Improvements $
FEE$ ' Plan Check $
OwnerAddress
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
DateT 199/666.� FEES
Contr. Address •••r�C��/"R....�Tu"'e'w�^^iv
Phone ag 7- F pZiaGState 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
r..
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
UNDERFLOOR Date Inspector '
FRAME Date Inspector
Date Inspector
LATH & PLASTER
FINAL Date Inspector
Date Insoector
ELECTRICAL
.OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
E FIXTURES Date Inspector
UPI H. CHARG
Dot Inspector
ERMIT FEE Motors
( n Spector D't
TOTAL FEES FINAL //
rto v Inspector
PLUMBING '& GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LJ.6TERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
MAIN DRAIN FEE ROUGH COMPLETE Data Inspector
Date Inspector
STORM DRAIN FEE MAIN DRAIN
WATER SYSTEM FEE GAS PIPING Data Inspector
GAS PIPING FEE FINAL Date Inspector
PERMIT FEE MISCData 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 E TOTAL FEE
t
INSPECTED 1
Data j Inspector
OFFICE COPY
ELECTRIC SERVICE NOTICE
C
BUILDING INSPECTOR'S OFFICE CITY OF CUPET
S / g
19�.
TO
You are hereby a oriz to electrice for
Owneror Tena t ........ ..........:...... ................ .... ... ..(s.. W . ..............At ..
� Q � yS� . .
No. of Wires ............~....... Size Of Wires ......f.. .... Size of Switch
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
(Light................ 4Th-&.
..... Reconnect..................
No. of Meten...................No.of Add. Meters............ ............... 220..... ..... Move Service............
Power............... ..... Mov Meter..............
ELECTRICAL INS R