1588 /O /.C& LOT NO. Y
NO. ISMEPT
Eawa1 FOR PLUMBING PERMI - 76a,
r OF CUPERTINO
FfUN 181962 /1:1�8
Date 195— Permit No.
CITY OF CUPERTINO Fee $ �/- S�
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
Cupertino, and all other laws applicable thereto
Use Of Prernkes
:a
y Owne Address 0 L
r
Address
CONTRACTOR, AGE
Phon Approved {�2
PLUMBING INSPECTOR
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O M
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I, the undersigned do hereby certify; _that
I am the owner and occupan he sin e
family dwelling at o — Y
fo hich am making application o da-
work as a homeowner.
I also certi t I ill not hire any
non-licensed or contractor,
but will do this work myself.
TE PHONE NUMBER SIGNATURE
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ....
- ------- -----------
--E&-151—urnbing Final Plumbing Permit No.
� Q
-----------------
No- -------------.---...........
Owner or Tenant . ..%. ..... ... . ........
At ----- ZOO
--- -- ------- ...... ------ ---------- ------------------- - -....
Tract ...............
----- ..... ------------- --- -- --------- ------------------ ......
Date Connected ........................... . ----- - ------ .. 2�
------------------------------------------------- -- 19...
Date Final .................................. Z—
.. .... -- ------ -------- ---- -- 19--- ------
- ----------- --- -
------ ---------
00PLUMBING INSPECTOR
111 7/61500
LOT NO.
NO. STRE
APPLICATION FOR PLUMBING PERMIT
'5aall OF CUPERTINO
r
Dat 195_ Permit No.
A Fee $
Alp li t'onr}�eV` fRTANCCity of Cupertino for a permit to install plumbing
pipesa r }iitureyylllJl�`i''ste 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
Cupertino, and all other laws applicable thereto.
d
Use of Premises
�a
v
Ow Address
By Address
PhoneONTRACTOR, AGE T
Approve `
PLUMBING INSPECTOR
Vic'
0 o
mo
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ao ? z
y
O m
0 0
tv
ml
_ _ tyl--__----m
r, the undersigned do hereby"certiTy that I am
the owner and occupant of the sin�'le family dwelling at
for which I am making
application to do•. work as a home owner.
I also certify that I will not hire any non licensed
or contractor, but will do this work nysel£.
1 tiCii
-9.3 PO % �[. � li tai✓
ELEPY_Q E .Il+:Beit SICA?1TU E
STREET _ LOT NO. w
APC'i'c FOR ELECTRICAL PERMIT
AI I195—
CUPERTINO
Date JAN 6 Permit No.
Fee L.7 /od
App gt/ i rel�.P}mi�RM, of Cupertino for a permit to install electrical
wiringn r ure h e reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
c
v Usc of Pr - rL�'A
v
a Own L Address
By Address
Ai NTRACTOR, AGENT
,rye Approve
Phone: V ELECTRICAL INSPECral
NEW NPL FEES
Size Service Conduit-------------------:.Nhmber of Out'gts------------------ . ..._. .......... . ..:fit':
Size Service Wires.........................Number of Switches................ -3... .......... ...J..??..0.
Size Service Switch........................Number of Receptacles............ ..7--- ---------- ....-d..
Size Sub Feed Conduit..................Number of Fixtures......------------3..... .......... o...
Size Sub Feed Wires...................Ranges------------ KW.............- ------`-- -------- -------------
Number of Circuits................... Oven .............. KW.............. .......... .......... ..............
Number of Meters........................Signs..-------- Transformers........ .......... .......... ..............
Misc------------------------------------------------Dryers...................-------------------- --------- ------- --------------
Motors.................... HP-------------------- Phase....................
Motors-------------------- HP.................... Phase Permit Fee $1.00
Motors------------------ HP.................... Phase----------------- H P Charge............--- .... -- ---
TOTAL
C IA3SE1LTION APPR A�
Rough Wiring USI -- - Fixtures /... ...L.
A-
TOR DATE INSPECTOR
Finish Wiring .._...19.d- . . .......------ Motors .............. ....
ATC INSvgerOR DAr D OrDR
Final ?' ..-... .. .........:
.......
INSPECTOR
I, the undersigned do hereby certify that S..am
the owner and occupant of thus=.ngle family dwelling at
OlD 0 0 (G r. for which I am making
application to do„G�" work as a home owner.
I also certify that I will not hire any non-licensed
/���tcooa ,�sjoDr contractor; but wi11 do this work myself.
ThIEPHONL NUMLR U