NO PERMIT NUMBER (4)�• j
Lot No.
No. Street/,
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No"'!
Date _'� 196.
Application is hereby made for a permit to
a
to be occupied only as -0.
in accordance with Plot Plan, Plans and
Estimated Value of Improvements $
FEES G Plan Check $
Owner �• Address
Contr. Address
Phone 736 —3// % State License l?�
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data
196 FEES
Carat.
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 FEES
Contr.
.Address
Phone
State License
Approved
Applicants agree not
to violate any of the
Workman's Compensation
Laws of the '
Stale of California
PAD FINAL
FOUNDATION_
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
UNDEF
ROUGI
FINISF
FIXTU
MOT OI
FINAL
RECORD OF INSPECTION APPROVALS '
BUILDING
DATE INSPECTOR MISC.
ELECTRICAL
nerc �NSPFCTOR MISC.
GROUND ROUGH
I WIRING
1
ED WIRING
RES
!S
1121
/ / 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.
OFFICE COPY -4+14 '
-_�.! Q-@LECTRIC SERVICE NOTICE
li BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
9
You are hereby luthorizedl to
Owner or Tenant ..........':..... _......:.....
At ..._...!... C`�.� :
73✓.Wit„
No. of Wires ........................ Size of
Service for
............................................ ..
Size of Switch! Qc).A
MotorLoad .......................... Voltage ..... ........ ..--- .------ ....... Phase ..................................
HeatingLoad ........................ K. W. ....... ......... ....... ....... .... Voltage ................................
G. Light ............... ]lo............ New Service..—; Reconnect..................
No. of Meters ......:............. Move Service............
((Heat ................. 2 .....EThml
ce
No. of Add. Meters............ Power ............... P ................ Move Meter...:.......
a LBCTarCAL INSPSLT