NO PERMIT NUMBER (2) 30607 Glenview
NO. STS _ ' • LOT NO.,
t
CITY OF CUPERTINO
IL 00L APPLICATION FOR BUILDING PERMIT
r SANITARY NO.
FILE NO.
DATE 19
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$ PLAN CHECK$
OWNER ADDRESS
PHONE
CONTR. ADDRESS
PHONE STATE LICENSE
APPROVED
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FR
BOND BEAMS L
�k 4
WALLBOARDS-INT.B E%
FIREWALLS
MEMBRANE LANDS NG
.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDO W NS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC.,l�
mew ELECTRIC 4L INSP CTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UUDVnOOR S.M.
BACK FLOW INSTALLED MA INS A
UNDERGROUND R GH JFL .AIR
PARTIAL ROUGH NDENSAT INS
ROUGH COMPLETE FINA IANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
ELECTRIC SERVICE NOTICE OFFICE COPY
. BUILDING INSPECTOR'S NOTICE. •
CITY OE-_CU_PERTOAI
17k
To 9
You are hereby authorized to Connect electrical service for
Owneror Tenant
At
Fx 'S6A
No.of Wires Sizeof Wires Size of Switch
Motor Load Voltage Phase
-Heating Load K.W. Voltage
SV L. IJ�� '� t Light - I10 New Service Reconnect Y
No.of Meters
Heat 120—Three Wire More Service
�No of Add.Meters —_, Power �� t�lTThre�e Phase Move Meter
CQ"" ELECTRICAL INSPECTOR'/
NSPECTOR
i
C�
T ZIZ N n Z Z Z Z
o m 3 0 3 - o
Itg ? 3 3 1p 3 3 3 3
O p 0 o 0
u v
m
� 3
--------------
b
z
f
T
m
N
/0467 U hG Xy V1 /7 Y LOT NO.
NO. STREET
Qr12, CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
f Permit No., -11113
Data AJ9 Fee E6—�_
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto.
Use of Work To Be
Premisesyy^- Performed
Own.yro n+/ '.V�� Address
Phone
Addre
Phone 7` 3ontrafJ eof
State license 2 (�7 30 K Approved
_ Electrical lnspectar
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.