NO PERMIT NUMBER (5) LOT NO,
NO STREET
CITY OF CUPERTINO
_/1P_PUCATION FOR PLUMBING PERMIT
Sanitary No. �-
Date 1� Permit No.
Fes$
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 pipes
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 Work To Be -4 d p
Premises Performed 1' r oK.
Owner. Nom— Address IV
Phon(e'' �-11 y't "�
ByJt-1 U P/i.asV /",4A�{ {{,�,�j Address
) Con/tractor'}/�gen�tj'
Phone
State License 11.L / s� Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
1 COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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;1 0 5A O LOT NO. /
NO. STREET
6 CITY OFCUPERTINO
`APPLI,CATION FOR ELECTRICAL PERMIT
` es
1(
� ,1 Permit No.
Date )My 1A Z 6 ''"'19 1! Fee E-Y
Applicatiotii'tis hereby made to the City of Cupertino for a permit to install electrical
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
City of Cupertino,and all other laws applicable thereto.
use of Work To Be
Premise.11-9•,hq fe �p�" � c^"'r C Performed Vqe o r �e�, V L/IC✓
Owner LCl��d P Ue5 Address S8� 1OIAL; U)O
Phone 2 z7— 53, B�/
B,14w,ite L 1ocT• Address L/30 W415e-% 911e,
Contractor,Agent
Phone 2R j- .
Lk 30,6 �[y��� /
State License iC L9 - C Approved a f� 6 ` s' —`�
Electrical Inspectors 44
1 AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LOT NO. /
NO. STREET
CITY OF CUPERTINO
�, 'APPLICATION FOR ELECTRICAL PERMIT
` Permit
Date w '19— Fee OS
E 11 b�
Application is hereby made to the City of Cupertino for a permit to install electrical
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 e E trical Code of the
City ertino,and all other laws applic eto. -�,r /��
Use of Work ToBe
-A E M wet W
Premises Performed
Owner S Address
Phone 1
3y c.}'1 IY M d_ I �J„ Address
Contractor,Agen
Phone
S-94,
�
State LicenseV Approved
irical spector
I AGREE 1 WILL NOT VIOLATE ANY OF THE ORKMEN'
COMPENSATION LAWS OF THE STATE OF C
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