NO PERMIT NUMBER19 1 4 1 Ioe No.
No. 1 Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Date y// 196
Application is hereby made for a permit to
to be occupied only as
FEE$ Plan Check $
Owner �r% Address
a story, Type
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
Contr.
Phone
Address
State License
Approved
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APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES
Contr. _ I ��N —
Phone
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 3 196 GAS FEE $ C3 ~�
/.� PLUMBING FEE S J.
Contr. — =� /� 17 n Address U �J
Phone — � State License � -3 // 7 a
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
l ontr,
Phone
Address
State License
Approved _•
Applicants agree not to violate any'of the
Workman's Compensation Laws of the
State of California
t \\
PAD FINAL_
FOUNDATION_
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.—
UND'
ROU
FINI
FIX'
MOT
FIN,
RECORD OF'INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
EL L
na mlgr
.R OUN ROUGH
uH
up
l
iHED WIR G
'URES
ORS
PLUMBING, GAS & APPLIANCE .
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAINf3cL2IN .STS c 7-
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE
MISC
MISC
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPER/TIIN
_..._..__...../ ....... ..........
..............
To
OFFICI
COPY
You are hereby authorized to Connect the GAS service for
Owner or Tenant (...` ^'4i %v�'..� ... .. ......
At ' /
New Service ` ........... ... ..... _.
No. of Meters ................. Reconnect
..............................
Move Service .. .... .. ........
._....
No, of Add. Meters .............. Move Meter ..........
PLUMBING INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
Lt, G,--c> z` ELECTRIC SERVICE NOTICE
��oJS t e.J
Vf ._ ............._° ...�..p..._............, tv c,
You are hereby authorized to connect electrical s rvice for
Owner or Tenant .... .!_�
�.... _ �..e I- UN V nit ,
At.
No.
No. of Wires ........................
................
ty ...... Itnt�
Size of Wires .....3' ">", Size of Switch ....:..............
Motor Load ------ ------------ -
-- --- Voltage ....._.._ .... ...._........... Phase .... ......... .. ........ ...... ...
Heating Load ........................
K. W. ... .... ... ....... .............. .. Voltage ..... ........... ... ....... _.
of Meters .......
_... Nemnnrct.._T.... . .
1.1..0._.._................ New Senice..._No.
No. of Add. Meters ... ......Heat
....
.............. 220.. Three —Wir
Power
Mme Serricc....... . .
,Light.....
............... U
\torn Mcter._.....
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ELECTRICAL INSEF.4OR,
/ / I ISI�UQ.IUj ICI Q.Q,F�- IAJN LOT No. �.
NO. STREET'
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APPLICATION FOR PLUMBINP PERMIT
CITY bi CUPF.RTINt7 /
r I Sanitary N( (O �g3
Date I -3 � 196 Permit No
Pee $ /c
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and /or fixtures listed on the reverse side hereof, and agrees to install said prices
and /or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner—U 1 1 �, L-e— �' Y
By fv e L�l Mb I wz
CONTRACTOR, AGENT
Phnnr -1, Z ° 6 , b
State License `D-3 I I 1 D
Address ("ci g :RPVA,)S "L S)-
Oz')
Approved (N�
PLUMBING INSPECTOR //
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