NO PERMIT NUMBER (2) ��O 7 �+ I V •w1C Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
J File No.%
Dote 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 $
FEE$ 3 � Plan Check $
Owner 04#31 ��� Address
Contr. . /VS.=—� �e'11� - - Address
phone � d 7 4.40 State License .2. ds Q � C
Approved
r
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$ '
Conir. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS'PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Comr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved'
9pplicants agree not to violate any of the f,
Aorkmanrs Compensation Laws of the
itate of California
n_ra _
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL�L$- =
PLUMBING, GAS & 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
MISC
t
MISC
r
ELECTRIC SEKVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERT;INO
To
You are herebyS
or ad-to inect electri7l ervice.t.or
ad
Owner or Tenant .....
0
At
.............................
. ..... ................ .
No. of Wires .....................
- Size of Wires ..... ............. Size of Switch ..........
,*ItAldor Load .......................... Volta c ........... ............ Phase —............—............ -
Heating t6ad ............L'�'
K. W. ..._................... . ....... Voltage ....... . ........
No. of Meters....................
....
---- 'igh,.. I to New Servo: ... Reconnect...........
No.of Add. Meters............- H 't, 220 TI ee W r ...... Move Service...........
Power:............. T P .se............... Move Meter..........
............ ...............
FLECTFUC L IN ECT