1430 wood. 1 - 1 LOT NO.
NO. STAEBT ,
APPLICATION
FFOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date �� 196. Permit No. 3 O
Fee$ �!� :0 d
O Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed,oh the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing .ode of the City
Y of Cupertino, and,,all'-other laws applicable thereto.
u
Use of Premises (?FX
Owtlbfc �$t e Condi C RD .Qda Cf�
Address -
gy. e� Addres //
CONTRACTOR, AGENT
JJ _ Phon — Approved c
_ _ _ _ ` PLUMBING INSPBGTB
.{PF
7 117effiirks (Check V)
,T�,pe'of Appliance Units Fees New Replace Relocate
loci
ts,Orrg
GI&PI'llates
Ciro!] M."Heaters
—gi—ower4FZu-rnaces
Gas Fire'd.1 Boilers
Warming Ovens
Pefcolatop
Griddlesf
Steam Tables
I I
Gravity Furnaces
Suspended Unit
—Floor—Fdrnace
Miscellaneous I 7W
(NAME, TYPE)
'Kip)
'A.AppIlance Fees 1
InspeAd and Approved ......
DATE
INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO"'
9
............. ---------------------------------- 19(�
You are hereby authorized to oonn0-electric!tl scNicfor
Owner or Tenant ....
At ......
No. of Wires ---1 ................. Siz'e';of Wires Size of Switch/-QOA-JA-
, a. ..........
Motor Load ....... .................. voltage ...... ....
.....-- -
..... Phase --------
Heating Load ........................ K. W. .......................
No. of Meters.......Z---. Reconnecy-�y..........
Light 220. Tbree Wire... --------- Move Service...........
No.of Add:Meters.............
Power............. Phase.....,......... Move ter-----........
104 1/63-500 ELECTRICAL INSP CTOR
OFFICE COPY'
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY 'OF CUPERTINO
...... ..............
To
You are hereby th rized to connect electri I service r
Owner or Tenant
At
No. of Wires ...... -------------- Size of Wires .. —.-...... ---
...... -- - Size of Switch I-POAWI.
Motor Load .......................... voltage ......... ............ ... Phase ................. .......
Heating Load ------------------------ K. W. ---------------------------------- VoltaLd
No. of Meters......_2, 10 Service..... Reconnect.................... . -
220----f!777�'Three Wir7....... Mo Service............
No.of Add'. 14"t--- Move
Power............... Thr P I e Move Meter..............
104 1/63-500
ELECMIcAL INSPHCTO
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY 'OF CUPERTINO
JJr
...... � I
9
You,are hereby authorized to connect the GAS service
r '
.,r
.Owner or Tenant... ..
.............................
. New Service .. ...........
No. of Meters ...... .... Reconnect '
� I
Move Service .......................
. .. _. --. ..... . ..,--
No. of Add. Meters ............ . ove Meter ....::. ........_ `
PLUMBING, IN TOR i
Ito 6/63.500
i
�i.
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY 'OF CUPERTINO
...........................1-1...-.c..9......................... I91
To
You are hereby authorized to conned they GAS service for
jOwner or Tenant ..---..... . .. $�.
At .........t..o1. .l..s'
New Service ....... /.....
No. of Meters ........ ............. Reconnect .
Move Service .......::...............
No. of Add. Meters .............. a Meter .......................... d
.... ... ..,.. . ........ .. .. . . ....
PLUMBING INSPE
110 6/63-500