NO PERMIT NUMBER 1lC��c_o.
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO r
File No., 1171
Sanitary No.
Dara � 19
Appllcat n 's her ad r a permit to
story, Type
to be occupied only qs
in cordance with Pl Plan, Ions and S ecificatlon filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Ov,nor �J Address
Cont,, �'#-- 6? Address `s Zq
Phone a' State License K :�r— �Q /
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data t3- (� 196 /vim/n�_ �, (�� FEES
Con�rS�1.Y.�+-Kms.+,--p�C�.I p Jl�' Address �y,r�yQ
Phone ��— /irk `(�� State Lice e - 1
Approve
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone - State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violat.; any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Dote Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH & PLASTER
Date Inspector
FINAL
Dote Insoector
ELECTRICAL
,OUTLETS SERVICE
SWITCHES UNDERGROUND
Dote /
RECEPTACLES ROUGH WIRING Inspector
Data Inspector
FIXTURES FINISH WIRING
H.P. CHARGEM-FINAL
FIXTURES / Date Inspector
Date Inspector
PERMIT FEEMotors
I _ -�kDyt6 e.tor'
TOTAL FEES �O _
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN
D to for
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS I FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO . ..... ��}'
� _.._........ 11_-..Y.1. .... , fix>.b .
j To
You areth Lreby
ized to connect electrical service for
Owner or Ten .-.._._...... ..
At —Sl--........... ... --.. ..._-... .....
' ` f .... . (..
No. of Wires ......`-!�_.........y.Size of Wires ...`./...�.-..(. 'ze of Switch .. CL�----
Motor Load -...................... . Voltage ...._.._........_........ .... Phase
Heating Load .....-------.....:...... K. W. .................. ..... ._....... Voltage ............._._...... ..... .
Light................ 10New Service............ Reconnect.......__......
No. of Meters................
Heat................. 220... .... Three Wire.,. ... ... Move Service........
No. of Add. Meters......-.--..
Power............... rte hale. ... _.... Move bfeter.__...-....
ELECTRICAL INSPECTOR
�.�.
No. STREET
w APPLICATION OR BUILDING RMIT
sp
p ° Cil `O CUPF.RTINO //�O
sa Sanitary No, - `
O l
Date I^ N ti +� 196'� Permit No. .c//7,/
o Crl
n Application is hereby made fora permit to
oa � —
i N a Gert' scorY, y D l Building
w �._u be occupied only as "c ith
M
o o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee D
Estimated Value of Improvements,$a9.CGG'dw. Fee$ Fd
o a
–—
z J It is hereby a eed that the require ents of the Cupertino Building and Zoning Ordinances and
z all ether �s plicable
O Cuperti nnnpli Y
to thr <n r coon, to ati on, and use of buildings within the Cit of
d w� s/
� 3 r
– m Own Address
W
rc a B Addres
uE
a tj Phone /O 51/1;L1 /N
- Approve IC /
State License Zv/ 0.2 G mSVE
Nc INCI'OR l//