2363 aDt;K fJ V )O f d l 1 'FAO LOT NO. 1)0
JAN 'TREET
I/CPPLI4i► ION FOR PLUMBING PERMIT
( AUG 21 963 UI CITY OF CUPERTINO
Date 143- Permit No. '.
PITY OF CI ?ER{ Feeoc�
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
th 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 Premises_ neAA..(Qamr Q,
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41
Owner `mQAn.n� �►ti Address l nfc
By::�j a�nQ-IgI-;�Q Im, s."ie.o.. _ Address
C61N"CTOR, AGENT
n Phone 1 g " 11� Approved i
fj PLUMBING INSPECTOR
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Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPEATINO
n Sewer Connection Sanitary Permit No. .............
Ff�51�umbing Final Plumbing Permit Nl�IQ............
I
Lot
------------
Lot No. .......q-(�
Owner or Tenant .............
-- ------ ------ ----------- ---------------- ......................
At .............-.9 b.. Q---------------------- .......
..........
Tract ...............................
...... ......... ..... ..................
Date Connected .......................... q
. ..... ... - -- ------------------------------------------- ISIZ.......
DateFinal ...................................
. .......................
"D�
-------..-----:.. . .......................
Ill 7/63-IM . ......
PLUMBING INSP �T
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To ... .. ...
.......... ... ..................... 194-
You are hereby authorize to connect electrial service for
Owner or Tenant ----------------- 0
At ..................5;2pc.-�>..4............ 14
No. of Wires p
9
......a............ Size of Wire ....... Size of SwitchlAYO&IM..
Motor Load -------------------------- Voltage -------------------------------- Phase
............... .
HeatingLoad ------------------------ K. W/......------......__......._.. Voltage ----- ----------------------- --
No. of Meters---
Light-.....r.'.... 110-----r,:t�New Service... Reconnect.............
Heat......_.... ?20.._2.'.. Thr -WhMove Service............
No. of Add. Met Power.......... P ll Move Meter..............
I hWJ
..............
t........
104 1/63-500
ELECTRICAL INS,jz.O
COFFICE
O BUILDING INSPECTOR'S OFFICE COPY
GAS
C[TYSEROFVICUPERTINONOTICE
To ...... .0---.1.9 ................ 196 .
You are hereby authors to conned t GAS ervice for
Owneror Tenant ................................... .. ............._..._ ........---...... ... ..... ... .......---....
. .
At .................. ...._.. ......... 6 .' Service ...........
No. of Meters ...................... Reconnect
Move Service ........................
No. of Add. Meters .............. ov Meter ..........................
................. ........-. ..... ............ . ... .... ...
LUMBING INSPEC OR
110 6/63-500 -