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NO PERMIT NUMBER (2) �e M1/• t� �/V"f •allo. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No.`r4114 p Sanitary No. Date 196 a 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 $ A-dru J FE-E$ CO— Plan Check $ Owner AI& ejt, ....shy � Contr, Address Phone 9,$'r Q 9 G.3 State License' r/� Approved ww/ tea. APPLICATION FOR ELECTRICAL PERMIT / s U Date 'ynn/,A�/`T A ' 196 o FEES �—`` / Contr. _y'e' k-F- +>Z<—�� Address / 6 6' X J'l � U Phone — 'z'9J —(1 State License Ca,J Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address t 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 l RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION DATE INSPECTOR UNDERFLOOR DATE INSPECTOR FRAME DATE INSPECTOR LATH & PLASTER DATE INSPECTOR FINAL DATE INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND DATE INSPECTOR ROUGH WIRING DATE INSPECTOR FINISH WIRING DATE INSPECTOR FIXTURES DATE INSPECTOR MOTORS AT NSPECTOR FINAL T INSPECTOR 1 PLUMBING & GAS UNDERGROUND DATE INSPECTOR PARTIAL ROUGH DATE INSPECTOR ROUGH COMPLETE DATE INSPECTOR MAIN DRAIN DATE INSPECTOR GAS PIPING DATE INSPECTOR FINAL DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC DATE I INSPECTOR MISC DATE 11 INSPECTOR / OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE, CITY 017 CUPERTIN__O To nn (; ... ...... a..._.._ ........ _..., 196.j`. You are her y authori d to conn ectrical s ice for Owner or Tenant r No. of Wires .._...._.............. Siz ires .... Size itch _... Motor Load ..---....---------------- Voltage .__.._................. ..... Phase ..... Heating Load K. \lr ---- Voltage .............................. . No. of Meters....... Ligt...._....._... IIU......_.... New 'mice._......_._ connect.................. ............ No. of Add. Meters...._..__JHea t ._..._........ 2_>0._....._.. T Wire. ._..: Power........... ree Phas ..._ ._ Move Meter c ELECTRICAL ""TOR /