NO PERMIT NUMBER e3� Y'a I/�`.-'a`+-r.� V�..4JL-�^i`•//i].�L' _ _ \Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Date / T 196 7
Application is'heerree�by madd ria permit to
P'e ���'�" story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ PlanCheck $
Owner
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date d 196- 7 FEE$ - � ?' `.ter' �
Contr. /+ an .�a -�ic.4a.+ Address
Phone -- e2f'c':t.;:A' �-�ti __/__7 4 .3.
State Llcanse, /
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEE$
Contr. 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
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
.. DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DAT ' INSPECTOR
MOTORS /
/ DATE / INSPECTOR
FINAL
INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE - INSPECTOR
PARTIAL ROUGH
DATE � INSPECTOR
ROUGH COMPLETE
DOTE INSPECTOR
MAIN DRAIN --
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
' DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED DATE INSPECTOR
MISC
DATE + INSPECTOR
MISC DATE - INSPECTOR
MISC. DATE INSPECTOR
NO. STREET LOT NO.
N Q
r o APPLICATION -'i-OR, ELECTRICAL PERMIT
3 a �•S? CIiTY�OF CUPERTINO
W LL
LL Permit N
5
W Date
19 _ o.
o F; —
> Fee S ..-!�
a w Application isiherebyZmade_to the City of Cupertino for a permit to install electrical
W wiring antdI/or fistures�as�lisrehon�tlhc reverse side hereof, and agrees to install said
'
00 wiring and/or fixtures in accordan(c with the provisions of the Electrical Code of the
> 0 City of Cupertino, and all other !aes applicable thereto.
S F Gs/el.�✓1I S
Use of Premises__�...
J
J s 23c,90LIL-0 A�aych PRc�vr�'+y
S Address .�� 3 �d P/l�sCrf PC)
3 a Owner
Address
W B Ccs e��`t�o r L (TTT „L— Y
W Y { _._ _(2
O Y CONTRACTOR, AGENT .CG �
r-�aaApproved TAI �
Q U Phonr. '2J 0 _ ELECTRICAL INSPECIOlt/7/4
J� State License II �3 / ' /
Nrl reed
Size Service Conduit------- y.......Number of Outlets._............... .......... -
Size Service Wires...... ...°.�.....-:----Number of Switches................ .......... .......... .............
Size Service Switch----- ....Number of Receptacles............ .........
Size Sub Feed Conduit..................Number of Fixtures.................. .......... .......... ..............
Size Sub Feed Wires--------------------Ranges................ KW-------------- --------- -------- --.---------
Number of Circuits................... Oven ...-_........ KW------------- --------- --------- -- -----
..-..
Number of Meters------------------------Signs.......... Transformers......-- .......... .......... .--..----.----
Misc.--.....................------.---......---...Dryers......._...--.._-..........---....... ---....... ----...... -.-......-----
Motors.................... HP.................... Phase.................... Permit Fee $1.00
Motors------------------ HP-------------------- Phase----....--.---....-
Motors.................... HP------------------- Phase.................... H P Charge............. ---...-......
s21PV(e-e C4ri442e TOTAL
RECORD OF INSPECTION APPROVALS
Rough Wiring................I---------------------------- Fixtures .------------..-...... - ----.............
...--..-
DATE INSPECTOR DAT[ INIPECTOR
Finish Wiring ................1-------------------- ?Motors
.... .... ............ ......:..
DATE INSPECTOR DATE INSPECTOR
Final .......................... ---------------------------
DATE INSPECTOR
o2,.2 C'L�.:� ' Gc1x�- (.xt N. .�
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
/ 0 Sanitary No.
1�
Dote 196 _��
Applic`a/^tiion is hereby made
for aQpermit to
story, Type
to be occupied only as /
in accordance with plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $
FEES _� nPlan Check $
/`s+[[��-� � O�'� W
Ow ner 406---t-4
V
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date � G/t`! 196 �7 FEES S—dti_
/1 ` C " ` L� / ✓
Contr..�^� -ca.t.-C.aa.� Address
Phone - a 17Z-�---- P Z 1-0 State License /7$6- 7 /
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT /1
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. 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
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
.FRAME
DATE INSPECTOR
LATH 8 PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
/D'ATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
ATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR ,
PARTIAL ROUGH -
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
, DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC DATE INSPECTOR
.., +
MISC DATE INSPECTOR
MISC DATE INSPECTOR
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN S
COMPENSATION LAWS OF SHE STATE OF CALIFORNIA.
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