NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. ID
Sanitary No.
Date 196
Applicationis her y made for a permit to
n story, Type
to be occupied only ns
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
OwnerS����ys_'.�J• '��"�+��� Address
Cont,. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$ :2/— P�V)
Contr. Address �/U '^� �"r`-^"•e-
Phone a-/ 7,R'//B State.License
Approved (' i�t�i4ytrlQf�w...
APPLICATION FOR PLUMBING & GAS PERMIT
Data 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
Workman's Compensation Laws of the ,
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector -
UNDERFLOOR '
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Ins Dector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Do to Inspector
RECEPTACLES ROUGH WIRING
FIXTURES FINISH WIRING Date Inspector
lj�P. CHARGE FIXTURES Date Inspector
Dat Inspector
PERMIT FEE Motors
a a ns pacfor
TOTAL FEES FINAL
ata - nspector ,
PLUMBING'& GAS
MAIN'DRAIN SIZE I MATERIAL
STORM DRAIN SIZE TERIAL
WATER SYSTEM SIZE 11TE RIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dote 'Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Do to Inspector
Date Inspector
WATER SYSTEM FEE GAS PIPING
_
GAS PIPING FEE � FINAL Date Inspector
'
Date Inspector
PERMIT FEE MISC .
Date Inspector
TOTAL FEE � 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 DRYERPERMIT�FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
ELECTRIC SERVICE NOTICE OFFICE COPY
/ BUILDING INSPECTOR'S OFFICE,
CITY OF CUPS
To
You are hereby ut ize erect u a service for
Owner or T pant ................ .... .............................. ... ..... ... .c'..,?'TJ�c
At ... .. ...................... . � -'..........................
t�...to.... '30
No. of Wires ....�............. Size of Wires ...................... Size of Switch ....................
MotorLoad .......................... Voltage ................................ Phase' ..................................
HeatingLoad ........................ K. W. .............. ... ............. Voltage ................................
No. of Meters........
Light............... 110..... .... New ice. . ......... Reconnect..................
............
Heat.................
No.of Add. Meters220.... ..... hr i .. I--..... Move Service............
............
Power............... T h .............. Mov Meter..............
.... .......................................... .
ELECTRICAL IN OR