NO PERMIT NUMBER _1Z.?-0O A Lot No.
No. eat
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File NolUd; a 7b
—t
Date .�i / 19
Application is hereby made for a permit to
a- story, Type
to be occupied only as
in ccordance with Plot Plan, Plans and pecification filed herewith,
Estimated Value of Improvements $ '
FEES ,/�//' a Plan Check $
Ow nar /'�' v��ir_��.�..c ✓[/ //'^S�9aLss
Contr, Address
Phone - a-'.r oL� //0 �/ State Licensle/%�1
Approved
V /
ilk
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
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 FEE$
Contr. 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.:INSPKTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION '
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MIS
UNDERGROUND ROUGH
I
ROUGH WIRING-
FINISHED
IRING FINISHED WIRING
FIXTURES
MOTORS
FINAL '
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE w
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC -
Y
MISC
-r
MISC 1'
OFFICE COPY
ELECTRIq- SERVICE NOTICE '
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERT'INO l
To 6
You are h thonzed to copnect elect ery e t r
Owner or Tenant ..........._........ .._.. ..�......... .. .........i.... .._. ..... . .�-' V._.�. . --
At ...... ..._... :'.............: __.... :..................
No. of Wires ........................ Size of i ........... ....... Size Of Switch too
Motor Load .......................... Voltage ....t:._.... ................. Phase -........:..........:...... . ...
HeatingLoad ........................ K. W. .................................. Voltage .............._.:............ .
./ Llght..�.. I Ll1_. New Sery ... ......... RecunnectX .....
u No. of Meters.:..................
Heat................. 2?0......... Three ire. . ..._.._ Move Service......... .. -,
No.of Add. Meters............
Power............... Th haze. .. ......... Move Meter.._..........
...... .. .................. ...d..:.......... ..;.
P.LECTEICAL INSPECTO
X ,w 0 ?.f � /l 'dryc�-
0 < NO. YrRcrT LOT NO.
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s a CITY OF C.,,:RTINO CITY OF CUPERTINO
wnmR DEPT.
0 APPLICATION FOR ELECTRICAL PERMIT
J
0 AUG 977_ a ,2 7 P _
Datn &/ n iq>> Permit No. 1/0 7
o ` Fee 5 r;F
a
a m Application is hereby made to the City of Cupertino for a permit to install electrical
w = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
ao wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 0 City of Cupertino, and all other laws applicable thereto.
z_j Use of Pren ' Es
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3 a Owner x Address
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By Address
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CONTRACTOR, AGENT
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Approved o 0 —.
CTRIrAL r
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Ic tate License y� 41---
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