1075 im,
l 1LOT NO.SrRBBT
ADFOR PLUMBING PERMIT.
' OF CUPERTINO
D 1 195-611 Permit No. l Q 76
CITY OF CUPERTINO
�r a
Fee $ � / '—
m Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and'agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
�g Cupertino, and all other laws applicable thereto.
Use of Premiseti
s �--�
:a
Ownver 0 YI�G� A^M '�7 'J Address
Bill-IC;',tutu. AddressIQ ae)0-
-/ ` • .�,�coN�I'a.Icrod, nceNr
1 \I PLUMBING INSPECTOR
— I�XTURES NUMBER V
UNITS FEES y UNITSIFEES
,
_ r t JQDI� Size;
Water Heater
Water Closets I_ �• � Material �,'� ���
Bath Tubs . I I 11 s-o II To;,Curb I I
Showers To Prop. Line fif
Lavatories ,
To.Existing
Kitchen Sinks
Dish Washers
Waste Disposals 1 I-yO II —�
Wash Trays - II STORM.,DRAINAGE
Washing Machines Size •
Water SoftenersMaterial
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb I
Dental Units I! I_�
Drinking Fountains I iI
Floor Drains WATER SYS E� M
Hoppers Size 7
Restaurant Sinks r Material ('r<.psiIt
Sand Traps TO _ FEES
i. Urinals 11 Fixture Fee I 1 4 YT
Area Drains Main Drain Fee
Water Leaders Storm Drain Fee '
Sprinkler Varves Water Sys. Fee
Permit Fee /•LAL
TOTAL TOTAL FEE 1
RECOR OFA SY = ION
Partial Rough
Rough Co plet _
Final `'i
Cupertino Sanitary
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No.
.../ff.. ./
B'Plumbing Final Plumbing Permit No. .........
of No. .,0;2?
Owner or Tena t7�
At /. .. .....
t ................................ .......... .
Tract
.. .........--- ------ ......... .- ------------- ..........
Date Connected w.................
vj;w. 9..........._...... ........................ . --- 19
----------
.......... p ----- ----------
-o'
----------------- ---------
111 1160-500 ��tjMBING INSPEC,rOR
NOTICE GAS SERVICE- NOTIC OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............................ 19G......
To
0
You are hereby authorized to connect the GAS s vicelor
Owner or Tenant ... _i .. .......
At . .
... ........
. .. .. ........ ..............................................
-New-Smice ----------------- ........
No. of Meters ..... Reconnect ..............................
Moveservice�v.......................
�—, Nfo. of Add. 'Meters .............. move meter ..........................
-w
----------------------
-�_ALUMBING INSPECTOR
lio 1/60-500
pl ELECTRIC SERVICE NOTICE OFFICE
COPY
;�, � BUILDING INSPECTOR'S OFFICE f
7 CITY OF CUPERTINO- - !
/ ......................... 1961
,. .
To
You are hereby-authorized to connect the ELECTRIC service.faT
Owner or Tenanti?_i iA �r� l�l3�J.:...� i ---..).....----..
f� .' ....
II
No. of Wires .-. ...1 /... Size of Wires.-1----------- Size of Switch . •
Motor Load ............................ Voltage ................................ Phase ....................................
",,Heating Load ......................... K. W. .......................
...":..... Voltage ...............
Light ...........
No. of Meters..................... ...110 ................New Service_.'.'.`......Reconnect ................
Heat ....:........220
No. of Add. Meters .......... ................Three Wire ..................Move Service ..........
Power Th PS ...................Move Meter ............
..................................................................................
104 1/60-500 ELECTRICAL INSPECTOR
I