2519 GAS ELEC AND APPLIANCES�j LOT NO. /
O. J9W11A;A-N
FOR GAS PERMIT
OF CUPERTINO
`60
Permit No. 3_
Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
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.
a
Use of
v
�i Ownei
A
INSPECTOR
of Appliance I Units Fees 0 New
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces I ��
Gas Fired Boilers I ��
Warmine Ovens I I II I I
Gravity Furnaces
Suspended Unit
Floor Furnace
l�fiscellangous
NAME TYPE)
Inspected and Approved .---
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets I Size of/,Main
Gas Piping Fees
Tested and Approved ...........
SATE INSPECTOR
10572
NO.
Cedar Tree Ct.
STREET
LOT No. 13 plan 1420
APPLICATION FOR ELEC
CITY OF CUP. ERT
r ' SEP 6
Date C; , 195— Permit No. n
Application is hereby made to the City of Cupert 6JYor ermltM nota 1 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
Owner
By
residence
Blossom Valley Homes,lnc.
H. G. WANDERER
agb6mf' 1?&4?
SUNNYVALE, CALIFORNIA
Phone: phln.yPr
Address Cupert i no
Address
Approved i /—
ELECTRICAL INSPECTOR
Size Service Conduit___ I__`_�_____...._Number of Outlets ------_----------
Size
__---..__ _Size Service Wires ----- ........ Number of Switches________________
Size Service Switch --- /�??9-------- Number of Receptacles ............
Size Sub Feed Conduit ------------------ Number of Fixtures-. ................
Size Sub Feed Wires --- _ .............. Ranges ....... ._.____ KW ..............
Number of Circuits ------ Oven ...... 1------- KW --------------
NEW RPL FEES
Number of Meters ----- ... ................ Signs ---------- Transformers_...____ .___....__----------
--------------
Misc..--•--_------••---•-------... Dryers --- --- �---------- -- -%�
Motors ----•- ?--•------- HP _____ _ 4-------_ Phase ---..•- ------------ Permit Fee $1.00
Motors----_----•--------- HP -----_--------•---- Phase -------------------- l 2b
Motors -------•••••-------- HP ---------- --------- Phase -------------------- H P Charge-----
TOTAL FEES
CORD -OF INSPECTION AP OVALS
Rough Wiring! �' -
�-' Fixtures ----- -----------------
••--
DAT INSPECTORINSPECTOR
Finish Wiring •-••••......••• - ..... -- Motors ------------- •••--•.�----- ......---
DAT! INSPECTOR DATE I SPECTOR
Final 1
DAT! INSPECTOR
I
-
----------
--------
b
!3�!.
-------••-
-----•-•--
-3&
-•-----------
---
----------
-••--''S
/
Number of Meters ----- ... ................ Signs ---------- Transformers_...____ .___....__----------
--------------
Misc..--•--_------••---•-------... Dryers --- --- �---------- -- -%�
Motors ----•- ?--•------- HP _____ _ 4-------_ Phase ---..•- ------------ Permit Fee $1.00
Motors----_----•--------- HP -----_--------•---- Phase -------------------- l 2b
Motors -------•••••-------- HP ---------- --------- Phase -------------------- H P Charge-----
TOTAL FEES
CORD -OF INSPECTION AP OVALS
Rough Wiring! �' -
�-' Fixtures ----- -----------------
••--
DAT INSPECTORINSPECTOR
Finish Wiring •-••••......••• - ..... -- Motors ------------- •••--•.�----- ......---
DAT! INSPECTOR DATE I SPECTOR
Final 1
DAT! INSPECTOR
a
LOT NO-- <3
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date �
196 ------ Permit No. _
�- J—
Fee S7
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
Owne Address
By Address Ai --
CONTRACTOR, AGENT
�f Phone ` -� 1� Approved
PLUMBING INSPECTOR
Type of Appliance
Units Fees
Remarks ( Check V)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters I
�I
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam T
Suspended Unit II� _
Floor .Furnace I I II
NAME TYPE
Inspected and Approved _�.'.(d��'_... .............
DATE INSPECTOR