NO PERMIT NUMBER (2) r _
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.Zao
/ Sanitary No.
Date/ 96 : `
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 $
FEES Plan Check $
Owner Address
Contr, Address
Phone State'License
Approved
/APPLICATION FOR ELECTRICAL PERMIT
Date �O ��" 196 % FEES coz
Contr, Address + p/
Phone aZ s� —3State License
Approved w
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone ' ' State License
Approved
APPLICATIOWFOR APPLIANCE PERMIT
Date _ 196 - FEES
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
SIZE
FOUNDATION
BUILDING
SWITCHES
SIZE
Date
Inspector "
UNDERFLOOR
H.P. CHARGE
PERMIT FEE
/
Date
Inspector
Inspector
FRAME
ROUGH COMPLETE
STORM DRAIN FEE
MISC
Date,
Inspector-
Inspector
LATH $PLASTER
Date
Inspector
WATER SYSTEM FEE
Date
Inspector
FINAL
Data
Inspector
GAS PIPING FEE
Date
Insoector
ELECTRICAL
UNDERGROUND
ROUGH WIRING,
FINISH WIRING_
FIXTURES—
Motors
FINAC�
PLUMBINGI& GAS
SERVICE SIZE
Date
Dote
Do
Inspector
Inspector
Inspector
Inspector
MAIN DRAIN
SIZE
OUTLETS
TYPE OF APPLIANCE
SWITCHES
SIZE
RECEPTACLES
FIXT ES
7
H.P. CHARGE
PERMIT FEE
/
T-rOTA L F
Inspector
ELECTRICAL
UNDERGROUND
ROUGH WIRING,
FINISH WIRING_
FIXTURES—
Motors
FINAC�
PLUMBINGI& GAS
SERVICE SIZE
Date
Dote
Do
Inspector
Inspector
Inspector
Inspector
MAIN DRAIN
SIZE
I MATERIAL
TYPE OF APPLIANCE
STORM DRAIN
SIZE
LMMTERIAL
WATER SYSTEM
I SIZE
ATERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES.
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH
BLOWER FURNACES
Date
Inspector
MAIN DRAIN FEE
ROUGH COMPLETE
STORM DRAIN FEE
MISC
MAIN DRAIN Data
Inspector-
GAS RANGE
Date
Inspector
WATER SYSTEM FEE
GAS PIPING
PERMIT FEE
Data
Inspector
GAS PIPING FEE
FINAL
Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
nate Inspector
NEENEEMONE
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
FLOOR FURNACE
TOTAL FEE
INSPECTED -
Date Inspector