51119a2.d 3
No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Da to .' '4'A 196 71
L
Application is hereby
to be occupied only as —
in
Lor No.
Sanitary No.
File No.
a
xgL for a permit to
i
a 70 story,
with Plot Plan, Plans andt%e
filed herewith,
Estimated Value of Improvements $,
FEE$ li!r�
Plan Check E
Owner Address
Contr. ..0 Address /at `0'',- 7
Phone oZ S O ' O i D .r State License
Approved f�
APPLICATION FOR ELECTRICAL PERMIT
Date
196 ' FEE$
Contr,
Address
Phone
Stare License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote
196 GAS FEE $
PLUMBING FEE $
Contr.
Address
Phone
Stare License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
196 FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not to violate any of tlee.
Workman's Compensation Latus of th,,y4 e�_
State of California
r . 1 _
_ n
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR
PAD FINAL_
FOUNDATION_
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
6'L2CTCTCAL
DATE c INSPECOR .
UNDERGROUND R
ROUGH WIRING_
FINISHED WIRING
FIXTURES
MOTORS-
FINAL-
MISC.
OTORSFINAL
MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR - MISC.
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND ROUGI
PARTIAL ROUGH _
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE _
MISC
MISC
OFFICE COPY
...... .... 1 1-57AI/
You are hereby a th4lied to Off ect -electrical service for
Owner or Tenant ry
..........
At
No. of Wires ...................... Size Of Wires ... .. .. Size of Switch
Motor Load .......................... Voltage ....... ............ ........... Phase ... .....................
Heating Load ........................ K. W. ._ .................. ........... Voltage ........ ......
No. of Meters ------------ (Light ................ 11( A —
New Sen lr� Reconnect ... _ ........ ...
Heat ... ....... ..... 22 .. .... :h e
No. of Add. Meters.. 'E F C. %fo,t Ser,ic� ......
Power ............ PhU
...... ....
ELECTRICAL I
, ao',V7S 1 S/Av&YA vo AI,
0 Q NO. 5"rR EFT LOT NO.
Z
Qi1 �F ���
0 CITY OF CUPERTINO
o < MAya-f-jofPLICATION FOR ELECTRICAL PERMIT
SU
w e
o
w DaNE��`CL� 197Z Permit No. J��� _
0
0 �
Y Fcc S
a Application is hereby made to the City of Cupertino fora permit to install electrical
r wiring and/or fixtures as listed on the reverse side hereof, apo agrees to install said
o'o wiring and/or fix es in accordanre with the provisions of ectrical Cote of the
> City of Cuperther laws applicable thereto.
oa
z Use of Premises
J Z
ez=O
3 < Owner Address
a By AE �_ Addre " IS »
V F CONT CTOR, AGENT
a o - Approv _
_U Ph.,, v: _ � — '7(JJ I ci1CAL IN e
State License —2s 02S9�6 /
L
ITEM I NEW I RPL I FEES
of
Number of
of
Panels