457 LOT NO.
APPLICA I 'PPL i4NCE PERMIT
CITY;9FACLIERTINO
-s
Date A� /-_070 196.. Permit No. IL ,
Fee S�
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof• aodtagreestwims'tall said
appliances in accordance with the provisions of the Plumbing bode of the City
of Cupertino, and all other laws applicable thereto.
97
c
Use of Premises
65 Owner �— Address
� Ey DIVIC1013' '" Address
y1 HEATING & SS°cia n TYn vBiN'� A rovE c Y
18PIlrodeINNvnaxc PYA lagr-_i' Qa.LZ PP
PLUMBING INSPECTO
1
Remarks (ChedS✓)
Typ@ Qf Appliance of Units Fees II New 11 Replace 11 Relocate
Gas Ranges
\/all d-Ieaters
Gas Plates
Circulating Heaters
"Blower Furnaces /s-0 11 V I
Gas Fried Boilers
WarrdiDgg Ovens I I
Percolat rs jI
r
Ste les
Grra� agnates
Sr en6pded Unit II
< loor Furnace
.-Miscellaneous
(NAME TYPE)
I I II I i
a _
pp,ante Fees � �
Inspected and Approved . . /. .-r. _ ....'..................
DATF. / INSPECTOR
r I
ELECTRIC VI NOTICH 'OFFICE
LW Co
OE
'BUILDING 'IC
BUILMING INSP is
�_ek r
CITY qK7RU,
............ .................................... 96/.
To,
You re hereby-aVthorized to connect the TRIC service,
Owner or Tenant .......... ...N�
. . ........ ...........
At...IZ97c. .......%. ........... .......... ..
.. . . ........ ....
. . . ..
. ..... ...... .......................
No. of Wires�_._ Size:of Wires ?�--------- Size of Switch
Motor Load ............................ Voltage -------------------------------- Phase------------------------------------
HeatingLoad ------------------------ K. W. ................. ---------------- Voltage ................................
No. of Meters ...../ Light'!��.....: 4110 ..............*-New Service
w.Aei*c6nn'Kt�..............
No, of Add. Meters ..........�Heat ..............220
..... _Three Wire ._........._....Move Service -,A*
Power .............. v ree,Th-ase.....................mulve:Meter.0-51.0-51�"
r
...........1'04' 1/60-500 --------------------
ELECTRICAL INSPECTOR