NO PERMIT NUMBER C
�o a`L S�I L,.�.,�.,FJ .. G�- . Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 1
File No/tz "'J-3
Date YS 196
Application is hereby made for-a permit to
to be occupied only as
PJ�sto Type
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEES to Plan Check E /�� �
Owner Address ( i0 9 "'�/eyw� %ZL4j
Contr. Address
Phone a l�a;ls aG 9 �-%4 State License
Approved
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
... ..APprovedil -
Applicants agree not to violate any of the i f`
Workman's Compensation Laws of the ,l
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING /
FINISHED WIRING
FIXTURES
MOTORS
1`
FINAL
041
PLUMBING, GAS 8 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
i
MISC
MISC IN
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To `
You are hereby a or zed to connect elec ic, sem cc for
Owner or Tenant .........
At ...... .... ................
No. of Wires ........................ Size of Wires ...... ............... Size of Switch
Motor Load -------------------------- Voltage ....._........._....... ...... Phase ......... ........ ........... ...
Heating Load ................... -- K. W. .__........ ..... Voltage ....... ............. .
Light................ 110 ........ New Servi _-...._.... Heaonnect......._.........
No. of Meters.......f_.........
No.of Add. Meters......-.....1 Hear................. ........ Tree re. ............ Move Service..........
I1 Power..., .��� r e 'P a -......_...... Move Meter..............
RLECTRICAL IP CTO
N Q NO. STREET LO'r NO.
'2 -
WI.K
APPLICATION FOR ELECTRICAL PERMIT
W
3 < p "OF CUPERTINO
W 0
LL'w 'DateZ' 19 Permit No. /e d
o �
< 1 NOV 25 W9r y 6 0
< Application is hereby made to the City of Cupertino for a permit to install electrical
W
r wiringfa�dr fgx�hveS�V�Fisr�t�'�Tj� reverse side hereof, and agrees to install said.
o 'o wiring and or Ax ures in accordance with the provisions of the Electrical-Code of the
- `> N City of Cupertino, and ill other laws applicable thereto.
`oa
_ -1 Use of Premises X n S S T h,e -e of- U Lo eY
J Z
J O
j3 Owner Address oa e ( t
W W By Address -
y CONTA TO GENT
< 0 1 Approved
U Phone: ELECTR117AL 1N
fJ State License,
ITEM>.-_r .. -,NEW RPL FEESIr.
I;l.'Number of Outlets_ "
-aNum'ber of SWAches
p,«Number of Receptacles
it-;'Number,ofiFixtures -_
Ran es or Ovens!K W.
�
'Size"of Main-Service
a- Number of Meters -
Number of Panels.
Si s'-Transformers $ { <a
Dryers
Motors
H.P.Phase 'r
HI Pr"
Power.Poles -
w .." ,_
C -
Permit Fee _ ...,�,. 2'001?-
6
Total -
r