51216 (3)y Lot No.
No. Street v
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
^^ File No. �/�/G
Do to 1967--2—. ..
Application is hereby made for a permit to
to be occupied only as -A& w
in accordanceoth Plot Plan, Plans and Specification filed
`Estimated Value of Improvements $
FEES �W Plan Check f
Owner /G Address �� ' — - •/ c—
Contr. Address
Phone —1 )e 2- Is' State License aj�0 f
Approved dLAt" 10,
w 611.41
Dote
Contr
Phone
Do to
Contr.
Phone
Do to
Cont,.
Phone
APPLICATION FOR ELECTRICAL PERMIT
_ 196 FEEf
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
196 GAS FEE f
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Address _
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PAD FINAL
FOUNDATION_
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG. -
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
FINAL C II / I
.." 11.1 n.W&
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH_
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
MI
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY, OF CUPERTINO
To..................... ........ . ..... . 19(7,
ou reby auth rized to con ct electrical` -ice for
or
Owner or Tenant -- ............
At.........r.4 ...... - .... ..... ....
No. of Wires ............... ...... A
ize of Wires ................ Si f 'tch
Motor Load ...... !.:5 .... 17.)6/Voltage ... ....................
Heating Load ........................ K. W . ......................... - ....... voltage ..................
I I-. 'ight 110 ....... New Smice. Keconnect .................
No. of Meters ....
Heat....__........
21
No. of Add. Meters
Power....... Th P e
ELECTRICAL IN t.'c'