NO PERMIT NUMBER E-z� "-4iJ
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. lad
Sanitary No.
Do to 196 —1 —
Application s r y made for a permit to
a story, Type
to he occupied only as
in accordance with Plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ ��11 Plan Check $
Owner(�� Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date // 196 FEE$
Cent, Address
Phone C�� �^���a State License ��U
Approved -
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cont'. Address
Phone - State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Cont,. 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
Do to I ns pe ctor
LATH & PLASTER
Date Inspector
FINAL
DateInsoector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
FIXTURES FINISH WIRING Date Inspector
H
P. CHARGE_ j FIXTURES Date Inspector
Date Inspector
ERMIT FEE Motors
nspector
TOTAL FEES dD FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE TERIAL
WATER SYSTEM SIZE JATERI-A-L
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
GAS PIPING FEE ,FINAL Data Inspector
Date Inspector
PERMIT FEE MISC
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 TOTAL FEE
INSPECTED _
Date 1 Inspector
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICF
CITY OF
.......... -- --- - —. .......9......... 19A
To
You are hereby au oriz to conn ectri rvice for
Owneror TnWt ........ ... ... .... .... .. ........ ............ ............
At ............ C
............... . ...........
Cf. .......................
No. of Wires ........................ Size of Wires ..........1.0.. Size of Switch ........0........
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. ...:.............................. Voltage ................................
No. of Meters....................
(Light
:*.....:... u0.......... New Service.._............ xe�onnect...............—
No.of Add. Mete , Hftt-.�: 220..... . Th if ............- Move Service............
Power.............. T ............... Mo Meter..............
.. ......................................... .. ..... ............... ../.....
ELECTRICAL IN C R