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P ION FOR PLUMBING PERMIT
-.- -z"°-.--.:.., •-..,;:�,. CITY OF CUPERTINO
- Sanitary No. Q /
Dat JAr� 2 °6� !-44/
c ir�t Fee $ �/ 00
�� *ti& s (eic�bDy" a�e•to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accor nce with the provisions of the Plumbing Code of the City of
Cupertino, and all Oer la applicable thereto. )
DRAIN
wasmng macnmes
UNITS FEES I UNITS FEES
Water Heater
Size
Water Closets
Materia'_
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
1i
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disoosals
I
DRAIN
wasmng macnmes
alze
Water Softeners
Material
Bar Sinks
To Main Drain
Comb Sink & Trays
To Curb
Dental Units
Drinking Fountains
Floor Drains
WATER SYSTEi
Hoppers
Size
Restaurant Sinks
Material
Sand Traps
TOTAL
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Jprinkler Valves
Water Sys. Fee
Permit Fee
TOTAL
BQ TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
.Partial Rough..
N
v
v
LOT 1
NO. STRBET
D I FOR GAS PERMIT
{ O Ci 1 D 1962C bF CUPERTINO
Date ly9 Permit No. t_
CITY OF CUPERTINO Fee $—
3'= _
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas -appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and aljokber laws applicable thereto. _
Use of
Address _
Address
Approved
PLUMBING INSPECT
of Appliance I Units Fees 11 New
Wa11 Heaters
Gas Plates
Circulating Heati
Blower Furnaces
Gas Fired Boiler
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE)
Inspected and Approved ............. :...........
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets
Size of ainGas Piping F�e�es
Tested and Approved
DA INSPECTOR
�O Q LOT NO.
N(±. STREET
APPLICATION FO APPLIANCE PERMIT
CITY OF CUPERTINO
Date '`• � 190.3_.. Permit No.
av
Fee
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, ind agrees to install said
appliances in accordance with the provisions of the Plum ing rode of the City
of Cupertino, a d all- r laws applicable t .r o.
Use of Premise
Owner _ Address
By •A. Aldf
CONTRACTOR, AGENT
Phone ✓ ' — L 9 A z Approve
PLUMBING INSPECTOR
Type of Appliance I Units Fees II
Remarks ( Check 0
New j Replace j Relocate
Gas Ranges j j jj
j j
Wall Heaters j j ji
j j
Gas Plates i j jj
j j
Circulating Heaters i j jj
j
Blower Furnaces j jj
j j
Gas Fired Boilers j j jj
j j
Warming Ovens j j jj
j j
Percolators
j j jj
j j
_Griddles
Steam Tables j j jj
j j
Gravity Furnaces
Suspended Unit j j , 00i
j _
Flool Furnace j j
ji j
all
Miscellaneous j j
ij j
NAME TYPE) j j
jj j
II
II
II
pp lance Fees
Inspected and Approve
ATF. IN$ OA
NO. STREET LOT .
bdwr-011 ELECTRICAL PERMIT
Y10F, CUPERTINO
f D C 17 1962 L /
Date �� �6 Z , 195— Permit No.
agIT 0" r,+�� t11T � Fee
Applica ion is hereby ma 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 appli
Use of Premises /'o AZAf
y
�i
Q
Owner cci122-1--s
y���
y
r.75 CONTRACTOR, AGENT
Phone: 7-95
Size Service Conduit ---------------------- Nurrk-ti of -Outlets ----- 7.__ -..-
Size Service Wires --------------------------Number of Switches... -------.--
NEW RPL FEES
---------- ----------I--------------
.. _'_� O ..
.......... .I --------
I---- --------
Size Service Switch ------------------------Number of Receptacles-. g--_.-- ---------- ---------- ---'
C --Y1 .-.
70
Size Sub Feed Conduit ------------------Number of Fixtures ---- 4Z .... .......... ..........
. ...........
Size Sub Feed Wires .------•-----------Ranges---------------- KW -------------- --------•- ---------- ----------
Numberof Circuits. ------------------ Oven ------•------- KW -------------- ----------------------------------
Number of Meters ........................ Signs .---/--- Transformers........ ---------- ---------- _----------.--
Misc------------------------------------------------ Dryers ---------------------------------------- ---------------------.------------
Motors----------------•--- HP -------------------- Phase ---•----------•----
Motors -------------------- HP .................... Phase ------------------ Permit Fee $1.00
--
Motors----•--------------- HP -------------------- Phase -------------------- HP Charge--------------- '...
TOTAL FEES C)
RECO OF INSPECTION APP SLS
Rough Wiring -------------- Fixtures ------------------- - -- -- -------------
ftCT / D N!!f ECTOR
Finish Wiring!. ... •_.... otorsl - =__ UG .........
DAT INSPECTOR DA INSPECTOR
Final -- -- ----- -
DATE INSPECTOR