NO PERMIT NUMBER ,� �'�/ I��yIA� /�• Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �—
File No r loo 90
Sanitary No.
Date Gf 196
Applications here y mad ora permit to
a story, Type
tcrWoccupied only as
in accordance with plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Ow0ner Lr �w ;J Address
Cont,. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
`` o'v
Date 196 FEE$ Te,
Contr. p Address s�O
Phone 'r� a ��iD State License /sv04�
Approved C -
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 State License
Approved
Applicants agree not to violate any of the r
Workman's Compensation Laws of the '
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
_UNDERFLOOR
Date Inspector
FRAME
Do to I ns pe ctor
LATH 8 PLASTER
Date Inspector
FINAL
Date Ins Dectar
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES " UNDERGROUND
RECEPTACLES ROUGH WIRING Data Inspector
Data Inspector
FIXTURES r FINISH WIRING n
Date Inspector
tKCH FIXTURESDate Inspector Motorsn Inspector
FEES VV FINAL �(/V�,
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE LialTE RIAL
WATER SYSTEM SIZE 4TERIAL
TOTAL FIXTURES UNDERGROUND
'FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE � MAIN DRAIN
Date Inspector
'WATER SYSTEM FEE GAS PIPING
GAS PIPING FEE FINAL ' Date Inspector
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE I MISC
Data 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
Data Inspector ,
ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING' INSPECTOR'S OFFICE
CITY OF CUPE717OS,.,,.q
...........
TO for
You are hereby a or" 0 n e a evice for
rV,
Owner or Tenant ..... .... ..... ...d. .... .
.......... . .. ....................
At ................. ef
......... ............. ...........................
i of Wires
Size -i ....... ... .....
No. of Wires ........I............... Size of Wires ............. i Of Switch
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters..... gh u0............
10........... New vice......7...'Acconnect..................
Li
220............ Th ire............ ove Service............
No.of Add.
Power............... T Phu . ..... ove Met .............
e
.................. ......................................
.............. ...
.......... ........................... ...... ...........
ELECTRICAL INSPECTO�Jr2
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
- CITY OF CUPERTINOs aa /
........... ... .....................�.../............... 1960.
To
You are hereby autCr&iiz'd It el a service for-
Owner or Tenan .. ...... ....
At ...................t.. ......... ......................... ....... ......
No. of Wires ..... Size of Wires .........l........... Size of Switch ....................
MotorLoad .......................... Voltage ................................ Phase .................................. '.
HeatingLoad ......I................. K. W. ..........:...................... Voltage ................................
Light............... 110..Ase ' .............. Reconnect..................
No. of Meters.................... ................. 220.. ire .. ........ Move Service............
No,of Add. Meters............ ;Power............... hqa . ....... Move er..............
........ .......................... . ...
ELECTRICAL INSPECT R