1410 1->-63
LOT� NO.STREET'-
APPLICATION FOR APPLIANCE PERMIT
-) , Aub � 17 'WW`',i CITY OF CUPERTINO
rDate n "� 1�
19L Permit No.
Fee =_ t
Application is hereby made to the City of Cupertino for a permit to install
V 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
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Owner�..�'✓/iL�ec-GC— Address _
B Address
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PhoneApproved Gtbl!L LA �YJ�
PLUMBING INSPECTOR �'
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Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY' OF CUPERTINO
E] Sewer Connection Sanitary Permit No'844..................
er-p`I=bing Final Plumbing Permit NoCR,.U�4..............
Lot No.
.... .:1....
Owner or Tenant ................ .... ......
V-0
At ................. -----k�... .... .. . .. ...............I.......
Tract ....._.............._........
-�a4-.Y... .... .... ...........
pp
Date Connected ......... -------- Q ... :a
....... ...... ....................................... ..........
Date Final .............
19 ......
-----------------—
S. -- - -- - -----
Ill 7/63-IM PLUMBINGI E R
GAS SERVICE- NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY QF CUPERTINO
------------------------1..1..-.l ct......................... 196 4�
To
You are hereby all%,)rlzel to connect the GAS service for
Owner or Tenant ........ is
At ..... ......�b (..(I -o
�L
No. of Meters ......................I New Service ----------
Reconnect ..............................
No. of Add. Meters ........... Move Service ..... ........ .........
... ve Meter ..........................
Me
.... ... .... ..... .... . ........
110 6/63-500 PLUMBING INSPC R
OFFICE COPY .1
ELECTRIC S*ERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
- ---------------------11------- .............---------
TO
You are
hereby authorized t Court elects I service for
Owner or Tenant ----- ------
f'"'--R-'r------------
At
-2-----------------At .......... ..G-9.01
No. of Wires ----Z.............. Size of Wires Size of Switchl
Motor Load -------------------------- Voltage ------ ......................... Phase -- -------- ----------- ----
HeatingLoad ------------------------ K. W. ..-------------------------. voltage .... .......... .... ...........
Light...... 110 -1 m �
- NService._-- :..... Reconnect_......._.......
No. of Meters....._,........._
No. of Add. Meters............ Heat-------�... 220---:- Three Wire..._...._...- Move Service........._.
Power............... aze----.----
- Move Meter....._.......
104 1/63-500
ELECTRICAL INSPECTOR
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CEwuonnruC** oE OMPLETION
BUILDING INS 4R�S 'OFFICE
CITY CIjPERTINO,
The Building e
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