2611 (2) i
42�NO: D TRE.T ' LOT NO._ 1- 19
�� P CA IFOR PLUMBING PERMIT
z a 11 FES 2 8 1964 LEY2j OF CUPERTINO
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Yo Sanitary No.
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0 1 Dat -* �" —•- L96_ Permit No
3(3 II aal IInUd ov
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Fee $ �
LL
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 m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws
flaws applicable thereto.
LL Use of Premises
00 �,(� �1
o a Owner V�2u L/�C�Jf�2�/J Address
z By C/c <'J��� V &D Address Iter' �� e l
CONTRACCOR,AGENT V V '
W i Phone 16AV f-if�U
aState License 6/�l -Approved c
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n PLUMBING INSPECTOR
IN DRAIN
_ UNITS FEES UNITS1 FEES
Water Heater / /0 Size y
Water Closets Materia':
Bath Tubs To Curb
Shower /_ To Prop. Line
Lavatories ,� To Existing
Kjtchen Sinks Not Conn.
Dish Washers / /°` Sewer Boxes
Waste Disposals /
Wish Trays STORM DRAINAGE
Washing Machines Size
%Vater Softeners Material
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM'
Hoppers Size /' vc
Restaurant Sinks *�
Material
San Traps TOTAL FEES
Urinals Fixture Fee /Y. o-
Area Drains Main Drain Pee r.00
Water Leaders Storm Drain Fee —
5prfnkler Vaives Water Sys. Fee
Permit Fee V,o0
TOTAL /y1/yo, TOTAL FEE / .va
RECORD OF INSPECTION
Underground Rough., -V
.Partial Rough..
.Rough. Complete.. =
\Main Drain
Fina .
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oFilu COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............. -------- -.7.............._......1 196.4/
You are hereby authorized to connect electric ric,I servic for
-------------------
Owner or Tenant
At ---
No. of Wires ...:.r---------------- Size of Wires Size of Switch
Motor Load .......................... Voltage ----- ------------------------ Phase ..........------..._..-----
Heating Load ------------------------ K. W. ..----------------------------- Voltage ................... --------
No. of Meters.. Lightto.&,, Nm Servicc.-�,�----- Reconnect..................
L ---------- .........
e',
No.of Add. Meters.-.--.......--- H 'L. --- 220..e.'*.�.. Three Wire................ Move Service._.........
Power........... ce, h e............ Move Meter......--......
- -- ......................................
104 1/63-500
ELECTRICAL INSPECTOR