NO PERMIT NUMBER Hvp 7'•�.v.�
ry p ` Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No.
Dote 19
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,
Estimated Value of Improvements $
FEE$ / ��^^ /7 Plan Check $
Owrnr ( i.Cww //,^f/ Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Picone 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 FEE$
Cont,. Adoress
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Stale 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
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
• r
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
.. ............--....... ........
J
You are hereby authorized to connect electrical service for
Owner or Tenant ...... . Id.. ---------..... ....... . . . . ....
... .... . ... .
At ...-.................. a xcJ..... ................ ....................
No, of Wires ...... ..... ..... . Size of Wires ............ ......... Size of Switch ......
MotorLoad .......................... Voltage ................................ Phase -..................
HeatingLoad ........................ K. W. -- .............. . ..... . Voltage ................. .......
........ (Light................ 110.... .. Nm Ser vicr.... ...... R ,onnect...
No. of�t:rs Heat................. 220..t-
......... '1'hrcc Wire................ ?focc Scni........
No. of Add. Meters....-.-.....
,Power............ Three Phase....__........ e Mutrr
............
r.1XCTR!CAL INSPFCTOR