NO PERMIT NUMBER ozO 1�Q I (. ZGfr-Il Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
/. File No. C) �s
/ unitary No.
Dote 196
Appiicat' n is hereby ade r o
a ory, Type
In be occupied only ns
A accordance with Pot ! as an Specification filed herewith,
Estimated Value of Improveme s $
FEES Ian Check $
Owner Address
Contr. Address
Phone State License
11
Approved
c�j ISL f
FORISIC11MI LECTRICAL PERMIT
Date 196r � FEES `7 — 'y
Contr. Xi qq `'�� Address
Phone - O�2 / �Q ��� State License '
r Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cont,.' Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
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
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Ins ae c tot
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
H.P. CHARGE FIXTURES Data 10 Inspector
Date Inspector
PERMIT FEE Motors
ate pectar
TOTAL FEES tfl FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I l9whiTERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do tt Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
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 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
Lot No.
t
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Fila No.d/O/s�
Sanitary No.
Data 196
Ap . ati is hereby m a permit to
a story, Type
to be occupie on a
ccordance Cot plan, Plans and Specification filed herewith,
Esti d Value of Improve manta $
FEE$ .Plan Check $
Owner Address
Contr. Address
Phone State License
.Approved_.
'.L ' UCCALICURN ELECTRICAL PERMIT
C I�
i Date , 19 FEES O
Conte ��" Address
Phoonn/e(/. State License
( r
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
ConteAddress
Phone State License
4. Approved
APPLICATION FOR APPLIANCE PERMIT
Date - 1% FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the..
State of California ,
i
RECORD OF INSPECTION APPROVALS '
i
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH& PLASTER
Do to Inspector
FINAL
Date Inspector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Dote jfnspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
St
Date
or
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I ImmTERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH '
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Dots Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
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 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
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ELECTRIC SERVICE NOTICE
/Z�,�� BUILDING INSPECTOR'S OFFICE
OF CUPERTINO
............ ............ ............. .............. 196
To
You are hereby–a thor trical ice for
I nnyi
Owner o V
----.....r,,,-... . ..... ...
...... ......................
At ......................... Q. ...................... 1,L ...........................................
No. of Wires ........Z......... Size of Wires Size of Switch
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage .................................
No. of Meters............I........
Light---------------- 110�*��::�� Nm1fi .... .. Reconnect..................
No. of Add. Meters.........-.. Heat................. 220 Wit ...... Move Service.........---
Nn.
......;o?..... ..—It Move Met ...............
.. .........
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1o4 7/63-500 ELECTRICALIN":' � 01'