NO PERMIT NUMBER leix Lot No.
No. Street !
r
CITY.OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. /OJ ;'"`I
Date � 79
Application is hereby made for a permit to
a / story, Type
to 6e occupied only ax
in accordant ith Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ /0 0
FEE$ —2- dl-
Plan Check $
Owner h� C , �tl�c------+-=—^J Address
Contr. �G Address
Phone _ S oZ — / �`� State License
Approved
�
ID-
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
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 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 / 1
. i
I �
OFFICE Copy
CITY OF CUPERTINO
CTRIC ,SERVICE NOTICE
.4
TO
You are hereby athorized conn batectrical service f
Owner or Tenant .....
At
No. Of Wires .........
......- Size of Wires ..............._—:-'size, 0
Motor Load .......................... Voltage ................................ Phase
Heating Load .. .. .......... K. W. .......... ................. Voltage . .... .......
No. of Meters.........( (Light................ 110—.jNIIN,.� -..... 1(�,mmcct..........
No. of Add. Meters........_..
Heat..__......... Threl Ser,i(..... ...
.Power.....!......,. 'Ibre M,o,
KLECTMCAL