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457 (2) LOT NO. APPLICA I 'PPL i4NCE PERMIT CITY;9FACLIERTINO -s Date A� /-_070 196.. Permit No. IL , Fee S� Application is hereby made to the City of Cupertino for a permit to install gas appliances as listed on the reverse side hereof• aodtagreestwims'tall said appliances in accordance with the provisions of the Plumbing bode of the City of Cupertino, and all other laws applicable thereto. 97 c Use of Premises 65 Owner �— Address � Ey DIVIC1013' '" Address y1 HEATING & SS°cia n TYn vBiN'� A rovE c Y 18PIlrodeINNvnaxc PYA lagr-_i' Qa.LZ PP PLUMBING INSPECTO 1 Remarks (ChedS✓) Typ@ Qf Appliance of Units Fees II New 11 Replace 11 Relocate Gas Ranges \/all d-Ieaters Gas Plates Circulating Heaters "Blower Furnaces /s-0 11 V I Gas Fried Boilers WarrdiDgg Ovens I I Percolat rs jI r Ste les Grra� agnates Sr en6pded Unit II < loor Furnace .-Miscellaneous (NAME TYPE) I I II I i a _ pp,ante Fees � � Inspected and Approved . . /. .-r. _ ....'.................. DATF. / INSPECTOR r I ELECTRIC VI NOTICH 'OFFICE LW Co OE 'BUILDING 'IC BUILMING INSP is �_ek r CITY qK7RU, ............ .................................... 96/. To, You re hereby-aVthorized to connect the TRIC service, Owner or Tenant .......... ...N� . . ........ ........... At...IZ97c. .......%. ........... .......... .. .. . . ........ .... . . . .. . ..... ...... ....................... No. of Wires�_._ Size:of Wires ?�--------- Size of Switch Motor Load ............................ Voltage -------------------------------- Phase------------------------------------ HeatingLoad ------------------------ K. W. ................. ---------------- Voltage ................................ No. of Meters ...../ Light'!��.....: 4110 ..............*-New Service w.Aei*c6nn'Kt�.............. No, of Add. Meters ..........�Heat ..............220 ..... _Three Wire ._........._....Move Service -,A* Power .............. v ree,Th-ase.....................mulve:Meter.0-51.0-51�" r ...........1'04' 1/60-500 -------------------- ELECTRICAL INSPECTOR