1771 LOT NO.
PP IC. Ta ONPR APPLIANCE PERMIT
P1db4 CITY OF CUPERTINO
Date V � €RT nir196..... Permit No.
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Fee S-8
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises LA
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7 Owner _ Address _
By Address 1
CONTRA OR AGENT
n_ Phone Approved
JJ PLu"'NG INSPECT
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---\------------- - -- --
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OFFICE COPY
ELECTRIC SERVICE NOTICE
I BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
--------... ... .................... 19b�
To
You are hereby aut Cized to con ct gEVtrical service r
Owner or Tenant .....--�------! -- .................
z
� � �
At --------------..............---..---------------. ..............,.... .... . ..._...............
No. of Wires ----- ----------- Size of Wires ...--..... .. .Qlze of Switch 4-.
Motor Load ------- Voltage .............. Phase
HeatingLoad ------------------------ K. W... .................................. Voltaggee ................................
Light...._!...... 110... New ervice� ......_. Jieconnect..................
No. of Meters...._. .......... / f
Heat.......e. � 220_..V.. '1 Wire... .1 Move Service...........
No. of Add. Metets....._.....
----------
Power............... T Pha(e ......._�ffl e(ej_..........
V t.i� ���.jL
ELECTRICAL IN /I
104 7/63-500
GAS SERVICE, NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO q
.................... ...................... -- -------- 196.
To
You are hereby a thorized to conpect the GAS smice far,
Owner or Te
......................
At ......................
kv/.............
New Service ..........✓L---'- ----
No. of Meters ..........1........... Reconnect ..................**"''****
Move Service ........................
No. of Add. Meters ............ -Move i Ieter
PLUM I
in) 6/63-500
Bldg. Dept
• ' Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
,
❑ Sewer Connection Sanitary Permit No. -- ..........
Plumbing Final Plumbing Permit No..' :1....
Owner or Tenant'..-..-. ...................
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At ....... 4•?- ..............................
Tract ...........................•---' •--..-......l�S
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Date Connected ................................------ -^ .1a-- ' .. .. ----------••------- 4-c........
!3 . •.
Date Final `7 `
PLUMBING -1
III 7/63•IM ' >•
CERTIFICATE 'OFbMPLETION
BUILDING IN9Pf•.CT R'S OFFICE
CITY OP CUPERTINO
Date ............ . ...... J. } '}
I . Building uilding Permit NZ:29. ..
TThe Building Ltxated ats:.
g ,i.. :.►.. .........:.:.-� t,.u.a.r .�p ..............
Owned by ..q... .� .f -n`.1... ....................
• .
--- .. ....:+�,�........ ak..).. . .. .._...............
Completed) I
Has Been ' Altered).-I,='se As: ...... .: ..�;;............---......---
..................................................................................................................................................
.........................................................................
............................................................................ ...... .. .... .
............... .. .......; .. . . . .........
102 2/59-210
.UIIM NG NSP..t'OR
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