1408 V K LOT NO.
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PLICATION' FOR APPLIANCE PERMIT
" AUG 27 ,CITY OF CUPERTINO
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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 slid
v appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
y Owner`•�nhv���c O(�� Address�gD � '�/
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C ACTOR, AGENT
Phone TApproved G ! t
PLUMBING INSPBCTOR
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CERTIFICATE OF 'COMPLETION
BUILDING INSPECMR'SOFFICE
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CITY 'OF CUPERTINO
Date................4-1......y................
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..... Building Permit No.,,....
13
The Building Locatddsat ...:. -.----- •--- ...........................
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Owned ....
....... i......
..........................................................
n -(Con'Oeted) For Use As
Has Bee' : ....i'x
. .(Altered) -- - . ��.4....f
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................0...........*............. ---------------
.... ..........
BUILDING INSPECrOR
102 7/63-500
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY- OF CUPERTINO
Sewer Connection Sanitary Permit No. ..............
2--I;Iumbi,g Final Plumbing Permit No. ------------
Lot No. ------ .............
Owner or Tenant ............
. .. /.1) .......... .......................
--------
Tract ------------ ...........
......................
:X
Date Connected .............................
.......)....... Z................. ..... ............... .......
Date Final ---------------------.............
... ..... .......... ...... ..... .......... .....
PLUMBING INSPECT R
III 7/63-IM Q
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
To . ........... ........./_/.-.. ................. I�
You are hereby authoriz to conned the GA service for
li Owner or Tenant ...._.... '/ ...._/..
At ............... ............ .._._�r.... �. . .. r.............................
Ne Service ......0 .
No. of Meters .........f........... Reconnect
Move Service ........................
No. of Add. Meters .............. � �M e Meter ..........................
i
i PLUMBIJ G INSPt!�J QR
110 6/63.500
OFFICE COPY
(\ n ELECTRIC SERVICE NOTICE
IV` 1y� BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To /
You are hereby authori ed /tg�conneft-e�lectri awl,service for
Owner or Tenant ......... «` �.,rsjC_;--,-
n
At ........ (^
No. of Wires ------... Size of Wires ... ....�-- ---- Size of Switch j.ojbfrv,
Motor Load Voltage ---- -------- .............. Phase ......----- .......
Heating Load ----------------------- K. W�----------- - ------- . ...... Voltage ...........................
Service._--
' Light...... .....
✓.. IIO. �ew � connect...._............
No. of Meters....................
Heat........' 220....ETNo.of Add. Meters............
Win Move Service....-.......
Power..............
Phase/....-.._�-p Move Meter..............
f i t
V - - - -
104 1/63.500 ELECTRICAL INSPECTOR