220361iJeL
NO. I sTREE'1'
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO '
t Sanitary NO GJq
Date G- Zo 196- Permit No :S1
ecce /y-od
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, andlagrees to install said prices
and/or fixtures in accordance with thet'rovisions of the Plumbing Code of the City of
Cupertino, and all gther laws applicable thereto.
Use of Premises t,[+�L �X�;1' -
4• r ,
Owner /Y 6A n.r, - /.Uel llf--' .- %•.._#7,'�' Addres
CONTRACTOR, AGENT
State
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Office G+y
BUILDING INSPECTORS'
OFFICE
CITY OF CUPLRTINO
F1 Sewer Connection Sanitary Permit No - -------- - -
1 -----------
- ---- --
�bing Final Plumbing Permit No - -------- - ----- --4 .......
Lot N
K�-- , --dz --.-. ---
Owner or Tenant --- ------ ---------------------------------------
At----------- f --- --------- k4s.L-,425� --- �.----`------........----
Tract
- — -- --- - ---------------- -
Tract --------- -- -------- ------- .. . ... 3 , -1 **
-4 --- ------ -- ---- ------------------------ ..........
Date Connected --------------------- -------- - - --- --- ---------- 19.
DateFinal --------------------- -- -- -- ------ -- - --------
.............. -- ----
/ �B61NGINSPECT
,111 7/63 -IM
OFFICE COPY
ELECTRIC. SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
aj CITY OF CUPERTINd
.............. /-:2 ...... 1/ --................ 19a
TO
You are hereby auroprized to cygnect elr4riCal Avice for
.. Owner or Tenant
At ......... X --"--AQ .........
No. of Wires ----- � ............ Size of Wires
Motor Load .......................... Voltage ........
Heating Load ........................ K. W . ..........
............
............ ............. I ---------------
....... Size of 74 C.:.C,) -------
--- Phase ----------------------------------
--- Voltage ----------------------------.-
Light...... t0............New m5ew Service ...... e ......... �econnect— ...............
No. of Meters
220 - - ----- Thr Wire -
Move Service............
eters............
No. of Add. M Power ............... T ce P 'Move Meter..............
104 1/63-500 ELECTRICAL INSPEcTot,
Ok, t
To
You are hereby
4
Owner or Tenant ........ I
At..... ..........
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
-CITY OF CUPERTINO
...............................
thoriz?ed i to connect the GAS service for
. ................
l:.: .
.... ......
I
No. of Meters —
No. of Add. Meters ......
[to 6/63-50CI
New Service ------�
Reconnect
Move Service ........................
ov Meter .......................
&
.............. ......... (..
.... . .. ............
PLUMBING, INSPE R