51167 Electric T 60
a r n
,s-'e I , / ag Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO r/
File No.
Sanitary No.
Data 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot Man, Plans Xd Specification filed herewith.,
Estimated Value of Improvements $
FEES 1 r Plan Check $
Owner r 609404111010L Address
Contr. G 9 Address
�JPhone P2 D / State License
Approved l/
L/
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 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
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Dote Inspector
FRAME
Do to Inspector
LATH 8 PLASTER
FINAL Dote Inspector
Date Ins De ctor
ELECTRICAL
.OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
H.P. CHARGE FIXTURES Date Inspector
Date Inspector
PERMIT FEE Motors
Dai acto
TOTAL FEES FINAL
ata pector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Data Inspector
STORM DRAIN FEE MAIN DRAIN
-
Date Inspector
WATER SYSTEM FEE - GAS PIPING
Date Inspector
GAS PIPING FEE - FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE .I
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector