2048 GAS PERMITlooms U � �
LOT NO.
NO.. STREET
D
jiltQc N FOR GAS PERMIT
f OCT 10 1962 OF CUPERTINO
Date �4 1�s Permit No.
CITY OF CUPERTINOXt
t
Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes-
and/or
ipesand/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 Cod f the City
of Cupertino, and all other laws applicable theret
v
N
C
Use of Premises
v
OwneAddress
By Address
CONTRACTOR, AGENT
Phone_ �/ . �' �� q :(/ Approv
PLUMBING INSPEQfQS
Type of Appliance
I Units Fees II
Remarks ( Check d)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit II
NAME TYPE
Inspected and Approved ....... -•----....
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and ApprovedN-
qDA
.. .......^.....................
INSPECTOR
NO. STREET �� LOT NO.
9NEG
APP , It'��I�L° FOR ELECTRICAL
OF CUPERTINO
17 196-2-L.
Date , Z )195— Permit No.
PERMIT
(��+� TTV�/ ((� RRTTII Fee
Applic'at l its hQ y CUPEPJ I 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 Premise- c°,02", — 'fpl�="RlL S off
Owner Address _
By �l t"'E Address
CONTRACTOR, AGENT
0 Approved
Phone: 2% �"35'�i'G E EGTRICAL INSPECTOR
Size Service Conduit --------------- _______Number o'f Outlets ----- _ __-_____--_
Size Service Wires -------------------------- Number of Switches ...... /_____-__
Size Service Switch ------------------------ Number of Receptacles---
Size
_iSize Sub Feed Conduit ------------------- Number of Fixtures ---
Size Sub Feed Wires ... _............... Ranges ................ KW --------------
NEW RPL FEES
Numberof Circuits ------------------- Oven .............. KW--------------I---------------------------------
Number of Meters ------------------------ Signs ... .... Transformers ........ ---------- ---------- -------------
Misc------------------------------------------------ Dryers ----------------- ----------------------I-•--------I----------I--------------
Motors-------------- ----- HP -------------------- Phase -------------------- Permit Fee $1.00
Motors-----------•-------- HP ---------•-•-------- Phase --------------------
Motors-------------------• HP -------------------- Phase ------------------ - H P Charge-------------- -------------
TOTAL FEES
RECORD OF INSPECTION APA
Rough Wiring -•-----___--- Fixture ---- -- I -- E T oR
•-• 1 ECTOR
Finish Wirin__ _ ______ otor _
ATE INSPECTOR DATE INSPECTOR
Final---------- ----•----
DAT[ INSPECTOR
APPLICATION OR APPLIANCE PERMIT
CITY OF CUPERTINO
Dake 196: ;. Permit No. A$
o O
Fee It
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 slid
appliances in accordance with the provisions of the Plumbing rode of .the City
of Cupertino, and allofher laws applicable thereto/
Type of Appliance
Units Fees II
Remarks ( Check 0
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
I�
Blower Furnaces I �I
Gas Fired Boilers I II I
Percolators
Steam
Suspended Unit
Flo Furnace
Miscellaneous
NAME TYPE)
Inspected and App