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NO PERMIT NUMBER (2) /0333 Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Ut% Sanitary No. Dote �`1 ^� 196 ss_ Application is hereby made for a permit to, V'- a story, Type to be occupied only as e2 in accordan , with Plot 10on, Plans and Sp ific t filed herewith, Estimated Volae of Improvements $ 3 Q 0 FEES Plan Check $ Owner Address Contr. Address Phone d F,6-270 ,S7 State License R �/ Approved APPLICATION FOR ELECTRICAL PERMIT Date /`2 196 16— FEES Gorrir. C' �• Z Address `J^7a' / Phone o2-f6 -3.7i S- State License J - Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California J RECORD OF INSPECTION APPROVALS FOUNDATION BUILDING Date Inspector UNDERFLOOR Date Inspector FRAME Date Inspector LATH & PLASTER Date Inspector FINAL Date Insoector ELECTRI ,OUTLETS 'P SERVICE SIZE SWITCHES U /"O UNDERGROUND ' RECEPTACLES ROUGH WIRING Date Inspector FIXTURES FINISH WIRING Date Inspector H.P. CHARGE FIXTURES Date Inspector a"'o PERMIT FEE � Motors Date Inspector 3 OU Date Inspector TOTAL FEES � FINAL Dote Inspector PLUMBING & GAS MAIN DRAIN SIZE I MATERIAL STORM DRAIN SIZE TERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURESUNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Do t4 Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE GAS PIPING GAS PIPING FEE FINAL Date Inspector 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 `OFFICE COPY LECTRIC SERVICE NOTICE qToy) BUILDING INSPECTOR'S OFFICE,CITY OF CUPERTINO/ ....... ........................... 19 .i' You are hereby ayelloriz tonne-ct elect ..for for Owneror Tenant ........./'... ..• .. ......... ........................ ........................................... At /..4,� ........ ..... .. ..... . ... .................. . .......:. 3 �a /oo� No. of Wires ........................ Si E Wires .......:.............. Size of Switch ........:.......... Motor Load ........,................ Voltage ................................ Phase ................... HeatingLoad ........................ K. W. ................................. Voltage ................................ Light............... I10._..�,New Service.._........... Reconnect.............. ... l No. of Meters....... .... I �. Heat................. 220............ Three Wire................ Move Service............ No.of Add. Meters............ �i Power............... Phase....... .._ Move Meter.............. ..__... ........ ........................ ELECTRICAL INSPECTOR a31 l Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Fila Nd/D �,• �� Sanitary No. Dote /Viv D 196 Application is hereby made for a permit to � r a .story, Ty tc to be occupied only as in a,.,.orjVn,c with Plo lan, P IJUs and Specification filed herewith, Estimated Value of improvements $ 3406 Qt_ 6� FEESn /3 Plan Check E /'' Ower It 7'--- --� ddress /-#�' '' •r+ s-/�''r m Contr. c Address Phone �` State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ 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 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 DATE INSPECTOR MOTORS DATE INSPECTOR FINAL DATE 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 DATEINSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR og COPY 2ELECTRIC SERVICE NOTICE ;'r BUILDING INSPECTOR'S OFFICE .. CITY OF CUPERTINO 7 To You are hey auo oze connedeled �� al service for .�� Owner or Tena !. - - � . u`Z 'I No. of Wires ........................ Size of Wire ... Size of Switch .................... ` .......... _ ................ Voltage .. .....:.._.................. Phase ._..................._._.....-. Motor Load fE K. W. Voltage ................................ Heating Load ...................... . ............ ` Light............... 110............ New Serv' e......_........ Reconnect........ No. of Meters.................... . Tree Move Service............ HeaL.....:...../... 120... ..... hree No.of Add. Meters........... Power./ e................ Move Meter.............. ELECTRICAL I SPB OR 1 t N.0 STREET r LOT N0. w a (NOV ?APP ICA, ION FOR BUILDING PERMIT r O/ CITY OF CUPERTINO a _ o a Samtnn• No. QX 196— Permit No. , �. Application is hereby made for a permit to 0 a i N a story,Type Building aw to be occupied only as ordance with 0 o Plans, Specifications and Plot-Plan) led herewith. P1 Ck Fee F "; Estimated Value of Improvements,S 30 0 W Fee a-5' iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * Z all other laws applicable to the construction, location, and use of buildings within the City of J 0 Cupertino will be complied with. 3 F`m Owner I1 �. eRR Address _/ W W BvX I' L 2� sem. Addres`ss G�?tN, C1✓o9J�} . < 0 Phon Approved WILLIAM D. DENF VICH State License BUILDING INSPECTOR