NO PERMIT NUMBER (6)10'Y 7 7
No. Street U '
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO'
Do to t) 196 �—
Application is hereby made for a permit to
a
to be occupied only as
File No.
Sanitary No.
story, Type
Lot
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value
of Improvements $ -
FEE$
Plan Check $
Owner
Address
Contr.
Address
Ph�one���/�",y.J
State License
Approved
V'
APPLICATION FOR ELECTRICAL PERMIT
Date '3 196 7 FEES -Z/1 -r'Contr. ' y�+.w.i C�Ls���.s. i Address 14 G—f��
Phone _ of .�OZ ',SS'ti)e State License 2- J. tela 7
Approved F O
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr.
Phone
Date
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Address
State License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE
UNDERFLOOR
DATE
F ReMF
DATE
LATH & PLASTER
DATE
Fwel
INSPECTOR
INSPECTOR
INSPECTOR
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE
DATE
UNDERGROUND
H COMPLETE
DATE
INSPECTOR
DATE
DATE
ROUGH WIRING
PIPING
DATE
INSPECTOR
DATE
DATE
FINISH WIRING
L
DATE
INSPECTOR
DATE
DATE
FIXTURES
DATE
_
MOTORS
Z
DATE
�'
F.LP{AL
tII
_
PATE �
.
r I
PLUMBING '& GAS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR 11 '
INS YEC TVR
INSPECTOR
RGROUND
IAL ROUGH
DATE
INSPECTOR
H COMPLETE
DATE
INSPECTOR
DRAIN
DATE
INSPECTOR
PIPING
DATE
INSPECTOR
DATE
INSPECTOR
L
DATE
INSPECTOR
DATE
INSPECTOR
DATE INSPECTOR
APPLIANCE
INSPECTED I —
MISC
MISC
MISC —
DATE
DATE
DATE
DATE
INSPECTOR
CTVR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI O
............-. ......... : .........................
To
You are herew authorized (toj 2 n -o el ` -service for
Owner or Tenant......................... ....... .. __............ _...
..
At ............0 4
C}................:.m......................... �..... ..
No. of Wires ........................ Size of Wires .......... Size of wits
E::: 1. t-
Motor Load .......................... Voltage - ...... ....................... Phase ..................................
HeatingLoad ........................ K. W.. ... ....... ..................... Voltage ............ .... ...............
. 1 Light..._'/•I10.. . New Service_Reconnect..................
No. of Meters.......!...........
Heat ................ 220....... W' e....;...... ... Move Service............
No. of Add. Meters............
Power. .............. ... Move Meter..............
Pbkse......; . .
ELECTRICAL INSPECTO