NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Data 196
Application is hereby made for a permit to
a story, Type
to be, occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
stimat Value of Improvements $
FEES Plan Check $
Ow r.erAIA 1 Address
Cantr, Address
Phone State L'i;ense
Approved
/�/D
1 �
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE E
Cont,. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Slate of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL.
1
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS '
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE 1 INSPECTOR
MISC
DATE INSPECTOR
OFFICE COPY
n � ELECTR'IC "SERVICE NOTICE
I ING INSPECTOR'S OFFICE.
Oh CUPERTINO
� /
To
oo are re y t o ize
nn t el ctrical service for
r
Owner or Tenant ............ ....:..... ....... ...^-�" .... .. .... .. .. . .(.�. .... .
Z._c. !...�..... -
````�� _... Size of Switch I.CQ.r ....
No. of Wires ...4)............. Size of Wire- _----- -.-.
Motor Load Voltage .._._............._.....__. Ph.Ise ..
Heating Load K. \\'. Voltage _.... ...........
.._........ .
Light................ I10.._....... New Service.__...._ Reconnect................
.
No. of Meters............ ......
Heat................. 22 _...._.... Th Wir -.... ... Move Service.._.... .
No. of Add. Meters....- /jY
T r h ....... ..{/ Move Metec....___..
ELECTRICAL INS PECT 01�/ \
NO. ST LOT NO.
r o f�A"PPL16 TION FOR ELECTRICAL PERMIT
s �� CITY
OF CUPERTINO
W W
0
nW Date 6 - �-- - - 195 Permit No, —
o a �`r uurtK GNU hcc y G U
< Application is hereby made to the City of Cupertino for a permit to install electrical
W i wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures i acconlanrc with the rovisions of the Electrical Code of the
City of Cuperti and a other iaws a scab thereto.
oa _
G J Use of Premises ....
O n
3 a Owner Address
WW By /dGI C ._ Address
¢ RCONT.ACTOR, AGENT
0 O Approv
— U Phone: If L INSPECMR
I state License:,�����
NEW APL FEES
s
Size Service Conduit Number of Outlets
Size Service Wires Number of Switches
Size Service Switch Number of Receptacles
Size Sub Feed Conduit Number of Fixtures
Size Sub Feed Wires Ranges KW
Number of Circuits Oven KW-
Number of Meters Panels Transformers
Signs
Misc. Ayers
Motors IIP Phase
Motors IIP Phase
Motors lip Phase
Permit Fee 2.00
lip
Charge
Total Fees