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NO PERMIT NUMBER (3)/o No. Date Lot No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO _196 Application is hereby made far a permit to a to be occupied only as File No.! Sanitary No. ,story, Type in accordance with Plot Plan, Plans and Specification filed herewith. APPLICATION FOR ELECTRICAL PERMIT ✓ Data 196 FEE$ Tw Contr. �j A d d r a s s."rya Phone ���,7� ell O State License is o 6 3 Approved APPLICATION FOR PLUMBING & GAS PERMIT Do to 196 GAS FEE $ PLUMBING FEE $ Cont,. Estimated Value o4 Improvements $ — FEES Plan Check $ 1 /� Owner (L 0%0%A-dIL� Address _ Contr. Address Phone State License Contr. N Approved APPLICATION FOR ELECTRICAL PERMIT ✓ Data 196 FEE$ Tw Contr. �j A d d r a s s."rya Phone ���,7� ell O State License is o 6 3 Approved APPLICATION FOR PLUMBING & GAS PERMIT Do to 196 GAS FEE $ PLUMBING FEE $ Cont,. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. N Address Phone State License 4- Approved Applicants agree not to violate any of the Workman's Compensation Laws`pf the State of California s RECORD OF INSPECTION APPROVALS MATERIAL FOUNDATION TOTAL FIXTURES BUILDING UNDERGROUND Date REGISTERS PARTIAL ROUGH Inspector UNDERFLOOR Date Inspector MAIN DRAIN FEE Date ' - Inspector FRAME Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE Dote GAS PIPING Inspector LATH 8 PLASTER Date Inspector GAS PIPING FEE FLOOR FURNACE FINAL Inspector Date FINAL Date Inspector PERMIT FEE MISC Date Data TOTAL FEE Ins oe c for MISC ELECTRICAL .OUTLETS SWITCHES RECEPTACLES FIXTURES H.P. CHARGE FEE TOTAL FEES UNDERGROUND ROUGH WIRING, FINISH WIRING_ FIXTURES Motors FINAL V SERVICE SIZE Date Date PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL Adilk Inspector Inspector Inspector Inspector Inspector WATER SYSTEM SIZE MATERIAL TYPE OF APPLIANCE TOTAL FIXTURES FEE UNDERGROUND FIXTURE FEE - REGISTERS PARTIAL ROUGH BLOWER FURNACES Date Inspector MAIN DRAIN FEE ROUGH COMPLETE ' - MISC Date Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE MISC GAS PIPING GAS DRYER Date Inspector GAS PIPING FEE FLOOR FURNACE FINAL I TOTAL FEE ' 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 I � 'PERMIT FEE j J FLOOR FURNACE I TOTAL FEE ' INSPECTED Data Inspector OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE C CITY 01" CUPEItTIN < ........ ....... 14.. To You are hereby atyfi , ized to 2&� c or _le 'gji5al service for Owner or Tenant ........ . ..... ...... on:!!7w ..................... .. At.............. .. .................... ........ ....... -0--W No. of Wires ................. Size of Wires ------- . .... Size of Switch MotorLoad .......................... Voltage ................................ Phase .................................. HeatingLoad ............ K. W . .................................. Voltage ................................ No. of Meters .................... Light ............... 110............ Service................ Reconnect.................. Heat ................ 220............ hree e ................ Move Service............ No. of Add, Meters............ Power ............... . ............. N '�Yve Meter.............. tA -j ................. . .. .... ...... A11HLk9CT=R1CAL I ECTOR