NO PERMIT NUMBER (2) Lot No.
r
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
^^ File No. �/�/G
Do to 1967--2 —.. .
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance th Plot Plan, Plans and Specification filed her ith.
`Estimated Value of Improvements $CS
FEES W Plan Check $
Owner /G Address &I& ' — — - •/
Contr. Address
Phone —1 )e 2-Is' State License aj�0 f
Approved dLAt" 10,
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Cont,. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGR ND R U
ROUGH WIR
FINISHED WIRIN
FIXTURES
MOTORS
FINAL I
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
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY, OF CUPERTINO
To ..................... ........ . ..... . 19(7,
ou reby auth rized to con ct electrical `-ice for
or
Owner or Tenant --............
At .......... . ... ...... -.... ..... ....
No. of Wires ............... ......A
ize of Wires ................ Si f 'tch
Motor Load ......!.:5....17.)6/Voltage .......................
HeatingLoad ........................ K. W. ........................._....... Voltage .............................. .
No. of Meters.................. 'ight 110 ....... New Smice. Keconnrct...... ....
ea
H at 21
No.of Add. Meters I
Power...-... T hrP Le
ELECTRICAL IN3VUCT