2110 LOT NO. 7.
NO. �STR�EPT�"rq %--,, v:
APPLICA�TI(jON FOR PLUMBING PERMIT
" < I�;�" CITY OF CUPERTINO
W Z IMAY 23 1963
Y o Sanitary No. _
a
.0a J �•
Date f 1963 Permit No --;2116
3U CITY OF CUPERTfiA
wLL Pee$ A���Q
To
Application is hereby made to the City of Cupertino For a permit to install plumbing .
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other s applicable thereto. -
Use of Premises
00
m
3 Own
Zr Address
0
z� 1 f.
� z / Address
RACTOR,AGENTr
3 _ u ..
Phone -3
WILLIAM- D. BENEVICH
o State License "Approve
U
PLUMBING INSPECTOR
FIXTURES _ NUN BER MAIN DRAIN
UNITS -FEES _ UNITS FEES
Water Heater Size
Ware, Closet Materia!Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing "
Kitchen Sinks Not Conn.
Dish Washers _ Sei`ver Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing,Machines Size
'sXlater Softeners" Material '
Bar Sinks ' " To Main Drain
Comb. Sink,& Trays To Curb
Dental Units I
Drinking Fountains '
:.floor Drains WATER SYSTEM
.Hoppers Size
Restaurant Sinks Material
Sar Traps TOTAL FEES
Urinals Fixture Fee
Area.Drains - Main Drain Pee
Witter Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee
Permit Fee
,TOTAL „' TOTAL FEE
RECORD'OF INSPECTION
Underground Rough..
.Partial Rough.. —
Rough Complete..
\Iain Drain — —_
Final____
I.
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. :..�7.s�.��..i,F.
dumbing Final Plumbing Permit No. -
. .Lot No. OZ...
Owner or Tenant .....--
At
Tract .............
- _ .
Date Connected ......... ..... ............:' ........--:.
9
Date Final -.....-----
"- - - ..... ............... 3
---...-------------
PLUMBING INSPECTOR
III 7/63-1M., -
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,... �;... . � t��r
GAS SERVICE NOTICE OFFICE
/f BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTIND
........ .......... t �:�l ..................... 1960
To
You are hereby authoriz to conned the GAS service for
Owner or Tenant .._ x
l�f+' — ... _. ..... ..... ..
At ...f, .........
New Service +..».
No. of Meters .f�.............. Reconnect ...............................
Move Service ............. .........
No. of Add. Meters -------------- Move Meter ...................:......
�P UMB[NG INSP):CTOR .�
Ito 6/63-300 a .
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r�
OFFICE COP>V'
e� ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
_ CITY OF CUPERTIN�jQ�1TO �� ��D �j
--------."---�oY/-- 196.
You are herebyauthoriz - to nned a ctr- servi a for
- Owner or.Tenant...... .. . ... ... ........----...- --
At�U3 -- .. . - .-.... .-
n .... .. .. --:-...
No. of Wires ............. Size of Wires A......--.. Size of Switch/t�- �•
-Motor Load -------------------------- Voltage .............................. Phase
Heating Load ........................ K. W. ..... ..1............ ------------ Voltage
No. of Meters.. L
eters . ight.-....-_.--.... 110..L........ New service..'... -. ltecumecL:.
No. of Add. M ......
Hea[..._.._..___ 220._ hree Wire- service-:.:-----
....-..-... -_
Power-.- .......: r ....:........... ove Meter-L.:........
_ ...............
104 1/63-500 "ELECTRICAL INSPECTOR 1,