51163 22366 McClelland LOT NO. 7
NO. STREET
n a APPLICATION FOR APPLIANCE PERMIT
Z CTCY OF CUPERTINO
o , Date � Permit No.
3LL � fJUN 5 Fee /6
' 0 Application is hereby made to the City of Cupertino for a permit to
o a install-gas .ffppli�2� FlitedCirn the reverse side hereof, and agrees to
=N install'suid appliances in accordance with the provisions of the Plumbing
i Code of the Citv of Cupertino, and all other laws applicable thereto.
Use of Premises Reg - —
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Owner J- Gbielmptti Address11K�r3 Aire -
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� Z g Can ('grlo4 Sheat Metal— Address 774 Olr3 rrnmt�_$d ,
-O Y CONTRACTOR,AGENT
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a PhoneS91
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o s, State License 110628 Approve
a,y L PL MBING INSPECTOR
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NO. STREET LOT NO.
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w a APPLICATION FOR ELECTRICAL PERMIT
20
K
oLL CITY OF CUPERTINO
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o Dnte ;9 � qq��77 7 � Permit No.
O '.jUt �� ,h1eF3 E Fce � 7 �
a m App Icatlon Is Fier by' e th City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wirip�� /r��xtL �� �r� , with the provisions of the Electrical Code of the
5 b City o upertmO,!Man ,aocher aws applicable thereto.
z J Use of Premises//�// ����r
3 �� 6;/ kl.�/e Address
a Owner 7
p a By &2,45 Z� "VC _ Address lKX �r✓ t2 d G
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O ?�COpNTAACTOR, AGENT approved ,jn `1Jz
—0 Phone:^-� , �C Q ELECTRICAL INSPECTOR /��
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State License;
NEW RPL FEES
Size Service Concluit7�*_"--Number of Outlets.................. zy_
Size Service Wires_!/?/W �-------Number of Switches...............
Size Service Switch_R?:7AW.Ze-Number of Receptacles............ ........ ..............
Size Sub Feed Conduit------------------Number of Fixtures.................. . 3"A0
......... .......... ..............
Size Sub Feed Wires..-------------`-Ranges...- a--------- KW------------- ---------- ---------- ---e-f- qO
Number of Circuits...__.......-- Oven .............. KW...... .. .......... .. ..... ..............
Number of Meters..... ..............Signs.......... Transformers........ .._...... ....._...
Misc----------- --------------------------------Dryers----a--------------------...........
Motors......Y--------- HP... Phase-------------------- --------- ---
Motors-------------------- HP.................... Phase-------------------- Per-unit Fee A.00
Motors.................... HP-------------------- Phase.................... H P Charge.---------------
TOTAL FEES
RECORD OF FN-sncrioN APPROVALS
RoughWiring................ ---------------------------- Fixtures ---------------------- ---.....----...---- ------
DATE INSPECTOR
OAT. INSPECTOR
Finish Wiring ................ -----........------..... Motors ....-------....-------
........... ..............
DATE INSPECTOR DATE INSPECTOR- --
Final --------- -------- ---
T DATE INSPECTOR