15186(C-20 (2) 90 0qzL4 ,r'I J �rr�(, LOT NO. /
NO. STREET "
w� CITY SOF CUPERTINO
y �� �gI'APPLICATION FOR ELECTRICAL PERMIT
O )
Q LL j F
Permit N �a
ZLL Date 19 Fee$^ '--
FO T
of-
A plication is hereby made to the City of Cupertino for a permit t11 electrical
z F. wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
¢" - wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
W City of Cupertino, and all other laws applicable thereto.
J
20 Use of e work To Be ^ + n /`� /� ct
1,.
j m Premise' o Performed
3 0� 1#04
o<
Owner ` -���� Lha — Atltlresa 1 -/qU�
Z
Z B j_/ c — / n Q
J /"7 p-/'w� �Ln Ltil� Address 70 C. -N .L` i l�Gt
JQ
3 F Contractor,Agent �
—4
Phone — '•7/ /
W Z .�! /�.�U Y p
W State License pp rovetl
� d EI trical Insp for
Qf
GO
—U
W
0p S 0 3 3 0 2 2 T 9 2 2 2 2
'O I O
3 3 0 33 3 3 3
m j 0 0 O O O O
m m m 35 0 T 9 F O
T ]]]IT
3 d 2 c p p m
F A 3
2
m
9
r
.•���I L)Cn I S'2 f) LOT NO.
NO. J1 STREET
/O CITY OF CUPERTINO
n < VY
w � JIB #" JAPPLICATION FOR APPLIANCE PERMIT
z rr_
Y p 11'.L� IJiJ l
3 W /
< Dace^ 19 7
O 3 ,Permit No.
Q l o n� Fee.$0-Application is 6ereby nM"de to the City-of Cupertino for a permit to
o i install gas appliances as listed on the reverse side hereof, and agrees to
Z,�j install said appliances in accordance with the provisions of the Plumbing
Code of the City of Cupertino, and all other laws applicable thereto.
SL Use of Premises !�� ;ie, J /na
o ° / /
> N Owner l ,/t-n-n a.r . Address-2 /906 A4 i n n�,o,62,Lr f.
ZJ / -
��r I i /f o 2..n s n Address `
�'O fi CONTRACTOR,AGENT ��n
3 < 99F- iJSht
- W Phones
WW
otx State License �n-5 9 Approved
< ,C�/ PLUMBING I SPECTOR
0
!
—
_
—
° � � ` ° � { � ® ° a2 : , ® \ z > . 2 � %
0aw ± /