NO PERMIT NUMBER (4)1649 — I S'A— '/ c/6,A Lot No:
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to 196
Application is hereby made for a permit to
to be occupied only as
FEE$
Ovr ne r
Contr.
Phone
Sanitary No.
File No. 6-�078�
story, Type
in accordance with Plot Plan, Plad's and Specification filed herewith,
Estimated Value of Improvements $
Plan Check $
Address
Address
State License
Approved _
APPLICATION FOR ELECTRICAL PERMIT
Dot. r7 -L3 1199,6�I 26
FEE$
Contr. A411i 5- 724 F! Fl�-
Address Abs
Phone _ 9-97- X8-97
State License 2.00 % 2—nc) e -1 c)
Approved - /—f a
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196
GAS FEE $
PLUMBING FEE $
Contr.
Address
Phone
State License
Approved
APPLICATION FOR
APPLIANCE PERMIT
Dote 196
FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws ofthe
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR
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 REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
13 L-fr
ay95 seecrca„a—sutiwy�Nc� LOT NO.
NO. STREET VAL
CITY OF CUPERTINO CAP.
z < y��A^JPWIICATIONpFOR BUILDING PERMIT FEE 5�
Y�OISjL—q``� J '19 Building Per. No.e9 _
LLape ',�� Sanitary Per. No.
3 V Is Appllcti�n hereby made for a permit to 1A0!5' Z1 ;VA slr:/L')
PPrr
= O rstoly, %F pe Structure
Lu
to bpoccupted only as in accordance with
Z' Plans, Specifications and Plot -Plan filed herewith.
F Estimated Value of Improvements,
PI Ck Fee $
O O It is hereby agreed that the requirements of the p -p
uo Cupertino Building and Zoning Ordinances and all Fee $ (0
O' a other laws applicable to the construction, location, and
Z use of buildings within the City of Cupertino will be Total Fee $
ZO complied with.
�Ov9r
3 STREyc'RnP S fu% _ V*AhfiA W SQ,4DAeB
wZ OWNER PHONE ADDRESS
/Qd-A,PJ1.y[' 7 L
< 00 CONTR. OR AGENT /ZILDING
ESS
— U ,287- �avz
PHONE STATE LICENSE NSPECTOR
0 u
NO. STREET LOT NO.
N
r o APPLICATION FOR ELECTRICAL PERMIT
14
o a CITY OF CUPERTINO
3 � ®
I 4
�0 /'
'o F L) , 1/9 Permit No. `� 7 _
` jur M
Fee
< w Application is(hereby � made �t{oy �th,e City of Cupertino for a permit to install electrical
,�, v�lirTn�an�r'CUL P R 1'�IVL!'n the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordan(c with the provisions of the Electrical Code of the
'> m City of Cupertino, and all other laws applicable thereto.
3
zJ
Use of Premises
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y�ia
J Z
J O
3 a
Owner v��
�i
yn )Address
A
a a
By :....
'
Address
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-
'.CONTRACTOR, AGENT
ui4' : ; ',t , ,-•,r,:. - 197.7897 ` Approve
Pi,,, : _ c>
rr,i is nc ,i,,, 951 i0
State License- r-
'-`Zd
ececrRICAL
V
NEW RPL FEES
Size Service Conduit Number of Outlets
Size Service Wires Number of Switches
Size Service Switch Number of Receptacles
Size Sub Feed Conduit Number of Fixtures
Size Sub Feed Wires Ranges KW
Number of Circuits Oven KW
Number of Meters Panels Transformers
Signs
Misc. D ers
Motors IIP c
-�
2.00
Motors HP hese
(Motors HP Phase
Permit Fee
HP Charge
Total Fees
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