NO PERMIT NUMBER �����I ►.�� Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Son ita ry No. oZ
File No. ��01
Dara �' J� 196..G�
Application is hereby made for a permit to
a story, Type
to be occupied only as
in oc ordance with Plot Plan, PI f
and Specification filed herewith
Estimated Value of Improvements $
FEE$ Plan Check $
Owner }„'_� �� /�0•-ss,�/ Address
Contr. Address
Phone a -rj d2 Oa, State Licens Q
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES
Contr. Address
Phone State License
/ Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR 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
BUILDING
DATE INSPECTOR MISC.
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
DATE INSPECTOR MISC.
MISC
MISC
MISC
OFFICE COPY
C
ELECTRIERVICE NOTICE
ELECTRIC
BUILDING SPECTOR'S OFFICE
OF CUPERTINO
�; . .
rf ....................... . ... . . ................ .
TO UU
You are hereby au, ori7ed to connect electrical service for
Qwner or Tenant ......... . ....... . . ......
. ........ . ......----—--0-
,,V. .............................. .....
..... .... - ----- ----
. ............A........)!...
..........
.... . . .. er................. ........................
No. of Wires ........................ Size of Wires ........... ....... . Size of Switch((-
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Reconnect..................
No. of Meters....................I ht`*��:::��:::::�� ire... .......... Move Service............
Lig'
No.of Add. Heat.... 22 ... .... Three
ti I
Power.............. 1 c Phu .. ............ Move Mejer.:............
-
............. ...... .................. .... ..........
HUCTUCAL INSPHQ�
B14. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. -7.0-IF-11......
F1 Plumbing Final Plumbing Permit No.Mn.j111;?..
LotNo. .............................
Owner or Tenant
At .....
Tract
.................. ..............................................................
DateConnected ..... ............................................................ 19.........
DateFinal ........ ....................................—.............Z. 19. ..........
..................
..I ----------
-z'
PLdIMBING INSPECrOR
/a IJ2 ,ucfy �✓
No. `,',0%q0 Stre Lot No.
O
�1n � j3 APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
`c Date V 116= Permit No. S7
Fee$
`o ,o
3 I Application is hereby made to the City of Cupertino for a permit to install electrical wiring
s U and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or
w `o fixtures in accordance with the provisio of the Electrical Code of the City of Cupertino,-,and
°, all other laws applicable thereto. ,
N
r.r .cQ CG.
m Use of Premises
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> 3 Owner .J .�BA9 Address
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3 ' Contractor,Agent
a*
a APprov
Phone�fj 7 ��d Electrical Inspector
o
LCL V Stale License
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