NO PERMIT NUMBER 417 7 ' Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO'
File No.
Sanitary No.
Da to 1 196��
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 $
FEE$ / ) Plan Check $
Owner 1.V � Address
Contr. Address
Ph�one���/�",y.J State License
V
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date '3 196 7 FEES - //' 'r'Contr. 'y�+.w.i C�Ls���.s.i Address 14 '2-6/ G
Phone _ oI .fol ',SS'ti S� State License 2- J. tela 7
Approved F O
APPLICATION FOR PLUMBING 8 GAS PERMIT
Data 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
1
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES _
DATE INSPECTOR
MOTORS
DATE INSPECTOR
F AL
AL
rPATE, INSPECTOR
PLUMBING'& GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
OFFICE COPY -� -
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI O
............-. .........:.........................
To
You are her authorized(toj co e-ct el ` -service for
Owner or Tenant ..............- ...... .. __............ _.. .
At ............0
No. of Wires ........................ Size of Wires ------ Size of wits
Motor Load .......................... Voltage ........ ....................... Phase ..................................
HeatingLoad ........................ K. W. . ... ............................ Voltage ............ ...................
. 1 Light..._'/•I10.. . New Service_Reconnect..................
No. of Meters.......!...........
Heat................ 220...... . W' e....;......... Move Service............
No.of Add. Meters............
Power............... ... Move Meter..............
Pbkse......;..
% ✓c y......
flLflCTRICAL INSPECTO/ �i •