2501 (2) LOT NO.
NO. Q S ER
W AT FOR PLUMBING PERMIT
a 11 OP CUPGRTIIlJO
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x o �NOV 13 1963 1 Sanitary No. '7 _
3 a Date 12— All / 1963 Permit No. x S6
W W
CITY OF CUPERTWf% Fee $ 14-10�
I O
� Application is.hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i a and/or fixtures In accordance with the provisions of the Plumbing Code of the City of
a W Cupertino,
and all other laws applicable thereto. s
a F Use of Premises /eECilJF.f/eE
00 i
r 3 Owner A),g eb Address
Oa
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JZ By Address dle2j
3 r CONTRACTOR,AGENT
- 0 Phone IP—x5 h —2G 2-0
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ao State Licens l.9� Approved ��`� _ -J<c-Vt C.
-O C2NTN ACTON. AfFNT '�
PLUMBING INSPECTOR
•FIXTURES NUb1BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater / Size u
Water Closets yMatera: GT
Bath Tubs / To Curb i
Showers / / To Prop. Line
Lavatories 3To Existing
Kitchen Sinks Not Conn,
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
h(rater Softeners Material
Ba; Sinks To Main Drain
Comb. Sink a Trays To Curb
Dental Units
Drinking Fountains I
Floor Drains WATER SYSTE]
Hopperg Size
Restaurant Sinks Material x
San Traps TO AL FEES
Urinals Fixture Fee 000
Area Drains Main Drain Fee a,0O
Water Leaders Storm Drain Fee
Sp,inklcr Vaioes Water Sys. Fee 100
Permit Fee 2.00
eel
TOTAL �0 d - TOTAL FEE
RECORD OF INSPECTIQN
Underground Rough... _gyp-3
Partial Rough_ —
.Rough. Complete.. T- -
Main Drain —
Bldg. Dept
Offi.-.c Copy
BUILDING *INSPECTOR'S OFFICE
CITY OF CUPERTINO
0 Sewer Connection Sanitary Permit No.r--6- -7
--------------------------
J2�pilmbing Final f
Plumbing Permit No;'?!:�...........................
Lot No
*; .............
Owner or Tenant ---- --- ------ ----
k
........ ...
.
-
At -------------
----
------ --- ------ . .....
...... ...........
Tract
............ --- -- --------
Date Connected ------------------------ ----------
.!!Z�--- -
Date Fnal 4f
.
--------------------------------
-- -.-.-.-...-- -----------------
--- - - - --- -
............. .. PLUMBING-1NSPECTO
Ill 7/63-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDINCPINsPvCTOR'S OFFICE
CITY OF CUPERTINO
................... ...........................1 196L�
To You are hereby auZ to;C01n brical service for
Owner or Tenant .......
At .................) � .1
..... ............................
�-g
No. of Wires .....--....S......... Size of Wires ...................... size of Switch ................
Motor Load .......................... Voltage ............................... Phase ..................................
HeatingLoad ................... K. W/................................. Voltage ................................
No. of Meters. LHegh ........ 110......--..-. N
ew Service......� Rconnect.................
- -'�P, 11ove Se"ice
......... 220...... -.. T
No.of Add. Meters .........
Power............... 4,lfd� has ...../{Move Meter...., ......
...................... ---- -- . . ..... ....................
104 7/63-500 ELECTRICAL INSPECT04
f oc1 GAS FFIC
SERVI E NOTICE OE
UILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO*
..............................L-I--- ............. 196t-t
To
You are hereby a thorized to connect t GAS service for
I\ —
Owner or Tenant -- --- - L ..
&S �
.. .............' h.1-Q-
At ............11...1 -... . (&I,\/
....................................
New Service ------------------
No. of Meters ...........L......-.- Reconnect ..............................
Move Service ........................
No. of Add. Meters ............... /M 'e Meter ..........................
............ . ....................;..... ---------
PLUMBING INSPECTOR
42
110 6/63-500