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NO PERMIT NUMBER LQ / V / I ��/�CA� /' "'�-�/ /!1'_"" —�- Lot No, s� No. •• Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No.J /UOI, .7, ry Sanitary No. Dote � r 196 �•' Application is hereby made for a permit to a story, Type to be occupied only as in accordance with Plot Plan, Plans and Specification filed herewith,. Estimated Value of Improvements $ FEES Plan Check $ Owner Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote - 196 GAS FEE $ PLUMBING FEE $ Contr: Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr. Address Phone State License 1 'Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION.APPROVALS FOUNDATION BUILDING Data Inspector . UNDERFLOOR Date Inspector FRAME Date Inspector LATH & PLASTER Date Inspector FINAL Date Inspector ELECTRICAL OUTUETS-!^. SERVICE SIZE SWITCHES' UNDERGROUND Date Inspector RECEPTACLES ROUGH WIRING Date Inspector FIXTURES. FINISH WIRING Date Inspector _] H.P. CHARGE FIXTURES Date Inspector PERMIT FEE Motors Date Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL — STORM DRAIN SIZE MATERIAL WATERS YSTEM SIZE_ ITERIAL TOTAL FIXTURES ,UNDERGROUND FIXTURE FEE PARTIAL ROUGH - Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Do to 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 FEEMISC Date Inspector 010101110 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 — Dote Inspector OFFICE COPY Jam`" BUILDING SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ..........�.... . .. ...... 1..... ....... 1961... ...... .. TO I You are hereby ize to connect elect .cal/fervice for C�� cl, e Owner or Tenant ..... . . ...........Z ................. At ...........I.C)....... L-4.'X" 7�..-X.... ......... ....... No. of Wires ........................ Size of Wires ... ... Size of Switch Motor Load .......................... Voltage ................................ Phase .................................. Heating Load ........................ K. W. ..... ....... ................... Voltage ................................ Ltght No. of Meters.... ........... 110............ ... m Service................ Rmnnect................. Heat..........., 220............ Thr ire.............. Move Service............ .-No.of Add. Power..011� ............. ............. Move Meter.............. ........... .................... ............... ...............- ........... ELECTRICAL I E R MV