1182F
•
f�
r L TION .EOR PLUMBING PERMIT
p OF CUPERTfIVU M
..N' ,.R ♦. ... ..
u �6dEltYtp4
city of Capemno fae'i permit to install. plumbing
(70 pipes and/ot 6tdoies listed on the`,re eise`sia hereof; and agrees to• install'said prices
and joi fixtures in "acoirdance with" t1te provisions'of the-Ptnigbing Code of the City of
CUP ef bo; and "all other' laws applicable thereto... ;
a use of Pcem','set �/ C '_; ) . %�4 T �e
Owner ` .Adiress
/tSy° Ad * CCS• `>
- � Phnn' •'3 6 i YwaKr APPm°M'
Ct ♦. , - PLUYBINo DIS
® IEI FOR GAS PERMIT
` I 1 F CUPERTINO
C
Dace
-- --- Permit No...
CiTY OF CUPERTINO Fee
Applicatiop is hereby made to the City of Cupernnn for a Permit to in,td(1 -ca
and/or gas appliances as listed on the reverse side hereof and acrees to install :aid ones
and/or applia es in acLordance %, the p.misi,ms of the Plumbing C,N1e of :he
of Cupertino• aid all other laws ap IlicI le thereto.
Useof Premises
r
BY -=-- = -
Addrns
I
ELECTRIC
SERVICE NOTICE OFFICE
aBUrLDING INSPECTOR'S OFFICE
.
CITY OF CUPERTINO
To.......... I........... ....... .............. .. ........ ...... 1 196.1...
You att hereby auth()zjto conect scrserviceserviceft
Owner or Tenant ji 1, the 1;
At ._.........9 Tenant........... .... &74A 74 a t-\
.. —, ......................... . .. t .......
No. of Wires ..... :;� ............ of Wires ....
.... .. ? . ..... Size of Switch ... ......... --- j
W,
I"
Motor Load ............................ voltage .......................... Phase ... -- ........... ........ . . �
Heating Load ....... .... .......... . K. W. .. - — ......................... Voltage .................... --- -----
No. of Meters Light ......_......110 ..._...._._.New INM Scnic ......._..._....Re nnmt ...............
`HraZ no ................ Thl;';"a-r .
N.,. 4 Add. Meters ....._.._....Mote Mote Service ..........
pow' -r ......... Th Ph ............. ..Movc Nfeter .......
...... ......... .. . .........
101
ELECTRICAL IN OR
'ECTRIC SERVICE NOTICE 01:110E
COPY
BUILDING INSPECTOR'S OFFICE
Cl'n'� OF CUPERTINO
.......................... /X/1 ... ....
/-You are hereby a thorized to Conn ct ELE IC service f,,,-
4 )caner or Tenant
T. . .... ... ..
No. of Wirell,...37 ...... .........
Size of Wires ....... Size of
Switch
Motor Load .................. ........
Voltage . .......................... -- Phase
-- . ..........
Heating Load .............
K. \\r . ......... .......... Voltage
. ..... .. ..
N, ni Mete" .... / ... . ..
_............New SLr, ice
..Re.c-nnvct
Hc
N AdJ. Meten ......... — .
...... .... . 11 .... Three W.ry
. mwr�� ....Thrm
Prover
..... ...
P9.1,
Nl"%e Xl't'r
ELE(=I, :AL IN
SP17CTO
t
Mo.
Lei
S,ren t
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Frio No. 100. G'' i.:
D. t. 9
:doa. se.ne,; No.
196 ' �
App/iratl.n i. „rcrb)' made fur a prrnit to
Rcnnn -
a, hraccu ,i ,. ° . Tlpr /1 r 1
/.'on f>an 1tlan,i Cnnnnr k TrinTi,
m m r;,rJan rn with /9m P'on, P:nn. nml � irtr ovi, n �
I j! fl. rd hnnrit6.
E.timoted Votue of Improve mento S 1 .000 00
FEES— l' -P, O0
_ Plpn Chocif ��=•�'�
o.,.. Mobil Oil Co• Add,...
Co.". J Re,nolci:: •dere., u' Perk Dr.
Phe.. Zl7-G i j = Sreb Liceme l-'��/•3-' - =l
APPLICATION FOR ELECTRICAL PERMIT
Dore 196 •5 —
FEES
Add,e.. .S'- L
Phen.
S,oa Lireme "'
Approved
APPLICATION FOR PLUMBING 3 GAS PERM11'
Do" 196 GAS FEE S _
PLUMBING FEE S
C."'.
Phon
Add,...
fro,e Lla n..
Apn•uv-d
APPLICATION FOR APPLIANCE PE Rv,1T
0.,e 196 FEES
11
s
I0
RECORD OF INS ECTION APF�RR+ S —
FOUNDATION BUILDING
S
Oom In. pe •oe
UNDERFLOOR I t
Dnrn
FRAME
Da h
LATH 5 PLASTER !�
FINAL
Do re
Imps...
Insquor
Im quer
Ina sc mr
ELECTRICAL
OUTLETS A; --1 —
SERVICE SIZE
UNDERGROUND
112E
MATERIAL
TYPE OF APPLIANCE
Dal.
Ins p.e!vr
ROUGH MIRING
SIZE
ATERIAL
Dole
Inagcrer
FINISH MIRING
;DRA
TEM
SIZE
Dao
Imgnv,
FIXTURES
TURES
..Isc
Dare
Im pecrpr
Moron
EE
PERMIT FEE
D.I.
Insgc!or
FINAL
N FEE
Dor. In. pecrw
PLUMBING 6 GAS
' U.re 1m q<I er
APPLIANCE
TYPE OF APPLIANCE
112E
MATERIAL
TYPE OF APPLIANCE
UNITS
FEE
IN
SIZE
ATERIAL
BLO.ER FURNACES
;DRA
TEM
SIZE
,ATERIAL
SUSPENDED ',Iv'1
TURES
..Isc
UNDERGROUND
GAS ✓Avec
GtS DRYFc ..—.
EE
PERMIT FEE
PARTIAL RO'JOH
N FEE
ROUGH COMPLETE
AIN FEE
MAIN DRAIN
eATER SYSTEM FEE
GAS PIPING
Do,Ino
Ds c!vr
GAS PIPING FEE
FINAL
Dora
Ina p. ne.
PERMIT FCEMISC
Dvre
_
Im petro,
TOTAL FEE
MISC
m.
I q pa c ror
' U.re 1m q<I er
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING YEATERS
REGISTERS
BLO.ER FURNACES
CO✓BUSTION VENT
SUSPENDED ',Iv'1
_
..Isc
GAS ✓Avec
GtS DRYFc ..—.
PERMIT FEE
FLOOR PURNACc —
TC_AL. _FFE...... .�___