51009 OFFICE COPY ELECTRIC SERViCE"NOTiCE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPE RTINQ
. .... ......... .. ....... 19
To
You are hereby autho ze to conn clectri' s rvice for
Owneror Tenant ------------ ... ........ .. .. .. .... . .........-.:........ ...................
At —....................I.. ............ ........................ ---- -- *... ...........
No. of Wires ....... 16 0�P.—.
................ Size of Wires ..... Size
MotorLoad .......................... Voltage ......... ...................... Phase ............................
HeatingLoad ........................ K. W. ...................... ........... Voltage .....:............... ..........
.1 (Light110............ ew serv* ...... ........ K�nnect......
No. of Meters....... 220......... twee ire.... ......... .move Service.....
No.of Add. Meter,�:���� H'at..
Power............... ce c.... ....... Move me .............
. ..... ... .....41�...............
............ ..................AAL .... .. .....
AELECTILic NSPECTO
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Dote 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
it, accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ Plan Check $
Owr,or 1!:&A,&l A"W/ Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date s „ 196 ` FEE$ 'y
_ �S70 x.,14
Cantr, Address A).. &-e
Phone �7 s+ V State License
Approved A
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $'
PLUMBING FEE $
Contra Address
phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Dat, 196 FEES
Contr. Address _
Phone State License ,
Approved
Applicants agree, not to violate any of the
Worknwnrs Compensation Laws of the.
State. of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Dote Inspector
UNDERFLOOR
Date Inspector
FRAME
Do to Inspector
LATH & PLASTER
Date Inspector
FINAL -.-
Date insaecfor
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Do to Inspector
P. CHARGE FI%TURES
ate Inspector
PERMIT FEE Motors
I
1 e specter
TOTAL FEES FINAL
A. Inspector
PLUMBING Ges
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
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
Date Inspector
GAS PIPING FEE FINAL
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
Data Inspector