NO PERMIT NUMBER (3) /0 3ti1J �/"'�' Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO l
File No.% /0
Sanitary No.
Data 196
Application is hereby made for a permit to
a story, Type
to be accupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ Plan Check $
Owner Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
-jeO m
Date 1966 FEES
Cont. J� Address
Phone 4 7-ell-V State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES -
Contr. Address
Phone State License
r Approved
Applicants agree not to violate any of the.
Workman's Compensation Latus of-the
State of California -
i,
i
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Ori to Inspector
FINAL
Date Inspector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Do to Inspector
FIXTURES FINISH WIRING Date Inspector
Date Inspector
P. CHAR FIXTURES '
to Inspector
PERMIT FEE Motors to
1 e Inspector
TOTAL FEES OD FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Data 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 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 I I
FLOOR FURNACE TOTAL FEE I
INSPECTED
Date Inspector
OFFICE COPY '
ELECTRICCTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-.—//... ....... .......
.............. ... ....I...... .... .
To
You are hereby autho z to conn elect r-vice for
1 5
Owneror Tenant .................. ......... ....... .............. ........ ............
At .........t c) 340--- ........ .............................. ........... .............
......Z ............. -4-p�.I S
No. of Wires ........... .. ....... Size of Wires ........... ... iz-
MotorLoad .......................... Voltage ................................ Phase .............. . .. ...
HeatingLoad ...................... K. W. ................. . ........ - Volt-age ................................
No. of Meters...._............ h 110..... .... New Service............... Reconnect..................
No.of Add. Meters............ Heat220...... ... Thlryire................ Move Service............
Power............... T ! . v Meter..............
MO
V Meter....
...... . ......
..............
E'IL8�mcL n;S SI;Zo
1.13CIMICAL INS 1k, 0