NO PERMIT NUMBER ✓ :::��of No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. �' )
File No./DQ�.� t
Date 196
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 $
0'
FEE$ Plan Check $
Owner //v+"✓ Address
Canty Address
Phone _ �`f r �/— State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �'r 1967 / GAS FEE $ 3 ,52—
PLUMBING
SZPLUMBING FEE/$
Cont'. y ��!/'Z Address d'" �` 7.z
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT e
Data 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to vinla to any of thy.
Workman's Compensation Laws of the
State, of Califnrnia
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL ,
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG. 7
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS-
FINAL- 57-
OTORS
FINAL �-
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY N0,
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. /
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
i
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S 'OFFICE COPY
CITY OF CUPERTINO
192
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At ....1.�Nl.....
New Service ..........................
No. of Meters .......... ... . .. Reconnect
.............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
..... ......................
PLUMBING INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
You are hereby authorized to connect electrical service for
Owner or Tenant ...... Z
.....fe.j..1. ......................
At ....
No. of Wires ._............._...... Size of'Wires ........._..V...... Size of Switch .....
Motor Load ------ ................... Voltage - - ------- Phase .... ..................
Heating Load ........................ K. W. . . ..... ...... Voltage . ........................... .
No. of Meters..... (Light................ 110............ New Senicv...... J<ctonnect......
No. of Add. Meters............
Heat..._............ 220........_ Three Wire... ser,i(,.......
.Power..._._.-..... "fhrm Phase Meter........
i
e
.......... _(—.. .... ...
ELECTR!CAL INSPECT0 .4