NO PERMIT NUMBER (5) Iry I / H t/ Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No./od Ijq
Da to 1p 196
Application is hereby made for a permit to
a story, Type
to be occupied only as -, pL
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
-tl
FEES � — �, Plan Check $
Owner ' ` .��Address
Contr. p Address
�/
Phone �'S 02� 7 rG— State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
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
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
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS - �6
r-44mw9 kovc-v/
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
GAS SERVICE NOTICE OFFICE"
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
6`1.............. ... . ..1 t96......
To You are hereby authorized to connect the GAS service for
Owner or Tenant ...................................................
Vm
At ... .... .......... .... ........ .. ... ............. .. ...... .... .........
-1
New Service ....,X...............
No. of Meters .....I..... . ...... . Reconnect ............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
. ...... ... . ........ .... ...............................
PLUMBING INSPECTOR
/9ta7 O� I //l WwL' 1.4t/{. •. Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. ��•��
Dote _2�G�196 11
Application is here y made for• perm' to
SEJ� Q(Aiu as 1 story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ �—y�" Plan Check $
Owtner Address �OSOr7 /{(L!.{AL KM`{.•
Contr. t4" 'r • Address ����� '�±�•
Phone 93� -3i/y Stat. License
Approved
Ale
APPLICATION FOR ELECTRICAL PERMIT
Date 196� FEE$
Contr. Q Address 6
Phone halo -J/ 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 INSPECTIOWAPPROVALS J
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
MOT O
FINA _
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
MISC
OFFICE COPY
CITY OF CUPERTINO
CTR-IC SERVICE NOTICE
I
.......... .......... tr ..
You are hereb authorized to connect ectrical se cc for
Owner or Tenant .......... ................ ............ ...........
At -..........
No. of Wires ........................ Size of Wit 5 .... ........... Size of Switch
Voltage .........._ ................... Phase .....--................-
Motor Load ..........................
HeatingLoad ........................ K. W. —........... . ..... . . Voltage ................................
Light...._.................. 110... seniceY. .. Reconnect....
No. of Meters....................
No. of Add. Meters.......... Heat................. 220............ *hree Wire... ........-
Power............... T P asc..., e te:',
ELELTMCAL NS'.I'CT
C'.
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Dote .1X�C.�196 � .
e (((( Application/is/hereby made fora permitto
U DwL / p•404toj -.-r5to Y. Type
to he occupied only as
in accordance with plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Owner _ // rR'/vr�YV Address
Contr. 11 alfl . ��/-• Address
Phone 7-46 - 3//:2 State License J9995' .
Approved
U
APPLICATION FOR ELECTRICAL PERMIT
Data 1A1.46 196 e FEES
Contr. AIt'• Address 't
Phone 7$ // tZ— State License / 99y b.?
Approved ag
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
State of California
3
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
MOTO S
FINALCy
'
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
OFFICE COPY
CITY OF CUPERTINO
j#ELECTRIC- SERVICE NOTICE
N. ................ . 19(09
.........................
You are hereb authorized to connect el, triCal set 'cc for
Owner or Tenant ...... ... S_. ...............
At ....... ............ .................. ...... . .
No. of Wires ............. .......... Size oe of Switch
k::ki, s.1................... Size.......... Voltage .......... .......... . ..... Phase ....—.........................
Motor Load ...............
HeatingLoad ........................ K. W. ..............................-- Voltage ...... .......—..............
, /
(Light................ 71(1............ New Senice........... .. kewsinect....."
No. of Meters.........
Heat................. 220............ W ..... Mm c Svr,ice............
No. of Add. Meters............
P \0� Power thrcT Ph Me(er..
Tl
.. . . . ......... ...... ................ .
r.LrCTR!CAL INSPECTOR