NO PERMIT NUMBER /) OFFICE COPY
Q. ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE;
Uo
C[TY OF CUPERTINO
You are he by authorized to connect lectr�a service for
Ap
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No. of Wires ........................ Size of Wires ...................... iz of Switch `�(�.
i
Motor Load ............ Voltage ........ Phase _....... ._ .......
......... ..
Heating Load ........................ K. W. ................. ...:._.......... Voltage .............__..........
.. .
Light....._........ IIU...._._... New'Sewtcr _. .. ..... Keconnect_............_..
No. of Meters...................
Heat................A220.. 1'hr tr ._............ Move Service...........
No. of Add, Meters............ t
Power.............. Ph ................ Move Meter..............
d
F.LrCTRICAL INSP TO ` � Y,
Ct 11 4z�" / Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No./,)�-V `Z 7
Data 19'.2�
Applicatio ishereby made fora permit to
astory, Ty c
to be occupied only as
in accordance with Plot Plan, Plans am pe ification filed erewith„
Estimated Value of Improvements $
FEES Pion Check E
Owner <`-s'c-t/-r-✓ `��
Contr. Address
Phone State License
Approved
APPLICATIO FO SAL PERMIT
Date 19 S
Contr. Address
Phone State License
Approved
.APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Cont'. Address
Phone State License
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL �s
3o R�
PLUMBING, GAS &APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE !INSPECTOR MISC.
MISC
MISC
MISC
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