1957 (2) A �O� - LOT NO. 2- 5
NO. STREET ,
/mw.KATION FOR GAS PERMIT
nn ��' CITY..OF CUPERTINO'
DApt�G 10 1962 l94-Z Permit No.—,/— ,S"7
ITY O: CUPLRTINO Fee $
Application is hereby made to the City of Cupertino fora permit to install gas pipes
�j and/or gas appliances as listed on the reverse side hereof, and agrees to install said.pipes
(� and/or appliances in accordance with the provisions of the Plumbing Code of'the City
of Cupertino, and all other laws applicable thereto.
Use of Premises .i1 ..
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�n Owherle _ Address _
By _ Addres
'CONTRACTOR, AGENT
Phone4-W.7 — '3e17� Ti Approved
`PLUMBING INSPE R
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ELECTRICa SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
=" CITY 'OF, CUPERTINO
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You arethereby an ed to annect eI 1 s or
Owner or Tenant .. ..
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---
---...:...........
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No. of Wires,�57-...------ Size of Wires i�...... Size of Switch
Motor Load.`.'......._... .
---....''- Voltage ----------------------------- Phase ----------------------
Heating
----------Heating Load ................ K. W. ------------------ --------------- Voltage _. ........ . .
No. of Me[ers..... ..:.. Light............... 1/0..{'.�-�.. New Service...✓.... Reconnect..................
'
Heat..........'....... 220.v�. Three Wire............'.. Move Service:...........
No. of Add. Meters..:......... ,„ ..
Power............... .............: Move Meter..............
104.1/63-500ay_,"
• ELECTRICAL INSPRCTOR-�i
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