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LI'CA`T tO, APPLIANCE PERMIT
64CF CUPERTINO
�- iDate 196..... Permit No.
-� OF CUPE �'^ _
RTS- . Fees
Application is hereby made to the City of Cupertino for a permit to install
,.1 gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing -ode of the City
\ of Cupertino, and all
�other
,,laws applicable thereto.
Use of Premises /Wa/
Owner _ Address
B - �� Address
CONTRCT�Ogs AGE"
9 Phone �IY Y Approve
-Y PLUMBING I....CTO
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ICBCOPY
ELECTRIC SERVICE NOTICE
1"II BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To ..........................��.::... ..................., 196. .
You are herebyized to conn -e ucal•service for
Owner or Tenant ............_':=_....x.1.:...� �
Atr� ,t
No. of Wires .....4............ Size of Wires 7!;k....:..f Size of Switch
Motor Load .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light...... tU------ New Setv' - Reconnect..................
No. of Meters--•.....1
No.of Add.Meter............
Heat_......:....... 220......._... Three ire... �. Move Setvire............
Poser............... Th Ph . .....:.E.. Move Mete ..
y ........
/•tt Ir�C °�'� ff
104 1/89-500 .--aLaCnUCAL INSPEC70kj
ylXrs ,�, GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY'
CITY OF CUPERTIN
...........-- ....._...`:. .'....11/. .. ........ 196--1
You are hereby auth lzed to connect the AS service for.............
Owner or Ten= ...........
A . . .....
New Service ........
No. of Meters ..............\----- Reconnect ..............................
Move Service ....**........*.........
No. of Add. Meters ............_ //... Mo 'Meter ..........................
........... ...... I.................... .4,
110 6/63-500 PLUMBING INSPECTOR