14028POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO '
PERMIT NUMBER
i•
140428
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
a.�sL36 L
JOB ADDRESS R .42o _LIN IT LOT#
PERMIT EXPIRES IF WORK
OWNER G.=�ecreo �<+�' CONTRACTOR GE.Q �L-�•o
IS NOT STARTED WITHIN
3{}8ODAYSOFPERMIT
INSPECTION DATE INSPECTOR INSPECTION RECORD
-ISSU-
FOUNDATION „� 0
CE OR 180 DAYS FROM
•
LASTCALLED INSPECTION.
LIFER
PREGUNITE ,
R VALIDATION
..
riplv
Q'. 1QlVl!I� ,
POUR NO CONCRETE UNTIL ABOVE HAS BEE SIGNED
�AN
2 •
UNDERGROUND/SLAB
Clty CL+De, fC.0
PLUMBING
ELECTRICAL -
ISSUANCE DATE
MECHANICAL -
SLOG.
ELEcr.
PLG. MECR.
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
BUILDING PERMIT
`.
INFORMATION
WOOD FLOOR
VALUATION
$/FT.
PLUMBING _ '
MECHANICAL
ELECTRICAL -
PERMIT TO
FRAMING
-
INSULATION
STORIES
TYPE CONSTR.
i lI�
All
OCC. GROUP
Y�.
RES. UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF 1 -
SO. FT. FLOOR AREA
TOTAL ACREAGE
u�f
DIAPHRAGM
BUILDING USE
RF,S IND CON PB GO.,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
125 El El El El
ROUGH
ASSESSORS PARCEL NO.
PLUMBING %-
GAS TEST
TRACT NO.
PARCEL NO,
MECHANICAL
ELECTRICAL FINALS DATE
INSP.
ACC.DATE
ACC. FILE NO.
FRAMING SAN # /5[.gL.j�
INSULATION PLUMBING Zfj-io-
ZONING
ENG. SITE NO.
.
_ GAS
` ANICAL - _
i
IRE SPR INK
"�
ENERGY T Y4
"�LATH—INTERIOR
COVER NO WORK UNTIL ABOVE HAS BEENING
� TRICAL
IDEPT.
FLooD zorvE
Y"�Y"�SHEETROCK
� A. L. u.c.
LATH—EXTERIOR
:, E-
WSIGNEO
FEESUMMARYy'a
SHEAR INTERIOR ING
BUILDINGFIREWALLS
SHEAR EXTERIOR7_TEMPORARY APPROVALS
TRIC- //'-30-
1
FEEN CHECK
NO TAPE OR PLASTER UNTIL ABOVE HASyBgPANCY
SEISMIC FEE
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505,
ELECTRIC
F ONE WORKING DAY BEFORE REQUIRED INSPECTION.
PLUMBING
77
z PLEASE GIVE JOB ADDRESS WHEN PHONING.
MECHANICAL
T
- SEE PERMIT FOR EXPIRATION DATE -
CONST. TAX
IMPORTANT!
TOTAL
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION
APPLICATION &PERMIT'
BUILDING -ELECTRICAL- PLUMBING -MECHANICAL
PERMIT NUMBER
14028
B°"°'"°'
aooRE3o MILLARD LANE, LOT 6
OWNER'SGERARD DEVELOPMENT
NAME
CORP: (415 ),NONE 941-414
CITY , ELECTRIC PERMIT FEE I
PLAN CHECK VALIDATION
OATE OF APPLICATION
CONTRACTOR
NAME
NAME 2-t 404 b
�AlN1� LIC. NO.
116 OUTLETS -SWITCHES -RECEP 10.00/1.00
LIGHTING FIXTURES 10.00/1.00
s JAI c,$T
CONTRACTORS TM,
anonT s '� rs -c 110_ c5I�A�4�
P P541-4P541-4141�
.'L, APPLIANCES -'RESIDENTIAL 4.00 �
PANELS 10.00 �
ARCHITECT
ENGINEER ARCHITECT C13629
IC.
PANELS (OVER 200 AMP) 20,06
PLAN CHECK FEE P.C. NO.
SIGNS TRANS.' 3.00
ARCH, OR EN •PERMIT
ADDRESS LOS' GATOS, Cil. 950.3
ZIP
SPECIALCIRCUIT 5.00,
VALIDATION
cam{ �
PA►,�
EMP. METER OR POLE INS. 20.00
ADDRESS
aooREs141FIRST ST.
MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
LOS AT -TOR, Cj% Q4022
Al lee
1`I
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9
fix 111F DATE
(commencing with Section 7000) of Division 3 of the Business and
PLG. MECH.
Professions Code, and my license is
is in full toy�pId f c
License Class c. Number
Date_i UP eo Contmcl
rn t -y7
,
BUILDING PERMIT
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason. (Sec. 7031.5, Businessand Professions
Code: Any city or county which requires a permit to construct, alter,
Improve, demolish, or repair any structure, Prir 10 Its IsSUance, also
requires the applicant for such permit to file a signed statement that
he is licensed pursuant to the provisions of the Contractor's License
Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5
INFORMATION
MISC. - REFER TO ORD
VALUATION S/FT.
PERMIT TO
U lu 4J
PERMIT ISSUANCE 10.00 _
Q
ELEC. CONTR. LIC. NO.
ELEC. ,y
TOTAL (� 1+1
OTY. PLUMBING PERMIT FEE
STORIES
TYPE CONSTR.
by any applicant for a permit subjects the applicant to a civil penally
of not more than five hundred dollars ($500).):
ALTER- DRAIN&VENT-WATER IEA.) 5.00
❑ I, as owner of the property, or my employees with wages as
their sole compensation, will do the work, and the structure is net
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of
property who'builds or improves thereon, and who does such work
himself or through his own employees, provided that such improve-
mems are not intended or offered for sale. If, however, the building
BACK FLOW PROTECT. DEVICE 4.00
OCC. GROUP
RES. UNITS
DRAINS -FLOOR, ROOF, AR EA,COND. 5.00
FIXTURES - PER TRAP 5.00 O ^
SO. FT. FLOOR AREA
3 Q-7/
TOTAL ACREAGE
'--
GAS - EA. SYSTEM -11NC. 4OUTLETS 6.00
Or improvement is sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or im-
b
prove for purpose of sale.).
❑ 1, as owner of the property, am exclusively contracting with
. ..
GAS - EASYSTEM -OVER 4 IEA) 200
BUILDING USE
RES Irv0 CON PB Omer
A ❑ ❑ ❑ ❑
INDUSTRIAL WASTE INTER. 30.00
LAWN SPRINKLERS - 1 INC'5 V.B. 6.00
LAWN SPRINKLERS - OVER 5 (EA.) 1.00
ASSESSORS PARCEL NO,
g
3d. 6 -L?4 5L.
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code: The Contractor's License Law does not apply
to an owner of property who builds or improves thereon, and who
contracts for such e with a contramor(9 licensed pursuant to
the Contractor's LicencenLaw. Law.
❑ lam exempt under Sec. ,B.&P.C. far this
on
/ SEWER -SANITARY -STORM EA. 200ft/10.00
- TRACT NO.
D
0��0�
PARCEL NO.
,
WATER HEATER W/VENT 6.00 �'
Owner - Date
5.00
WATER SYSTEM
ACC. DATE
ACO. FILE NO.
WORKE:RS'COMPENSATION DECLARATION
WATER TREATING EQUIP. 5.00
1 hereby affirm that I have a certificate ofconwnl to self -insure'
or a certificate of Workers: Compensation Insurance, or a cerlilied
ZONING
ENG. SITE N0,
copy thereof(Sec. 3800, Lsb.C.),
Policy No. Company
FIRE SPRINK
V ❑ NC]
ENERGY T 24
V ❑ N ❑
❑ Certified copy is hereby furnished.
,W Certified copy it with t city inspection division.
Applicant
MISC.- REFER TO ORD.
CERTIFICATE: OF EXEMPTION FROM WORKERS'
PERMIT ISSUANCE . 10.
FLOOD ZONE
A, L,U.C.
PLG. CONTR. LIC. NO.PLG.
�.p/
TOTAL )
COMPENSATION INSURANCE;
(This Section need not be completed if the permit is for one
Y ❑ N�
Y ❑ N❑
DTY MECHANICAL PERMIT FEE
FEE SUMMARY
hundred dollars (S 100) or less.)
I certify that in the performance of the work for which this per-
mit is issued, I shall not employ any person in any manner so as to
BUILDING
become subject to the Workers' Compensation Laws of California.
Date Applicant
NOTICE TO APPLICANT: If, after making Ills Certificate of Ex-
ALTER OR ADD TO MECH. 5.00
APPLIANCE 5.00
PLAN CHECK
emption, you should become subject to the Workers' Compensation
provisions of the Labor Code, you must forthwith comply with
Such provisions or this permit shall be deemed revoked.
AIR HANDLING UNIT (TO 10,006C.F.M.) 4.00
FEE
AIR HANDLING UNIT(OVER IOPWC.F.M.) 6.00
SEISMICFEE
/3
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for
the performance of the work for which this Inch is issued ISeC.
3097,,'S /L�ny- �-
EXHAUST HOOD (WITH DUCT) 5.00
MICROFILM
HEATING UNIT (TO 100,000 B.T.U.) 6.00 �-
HEATING UNIT (OVER 100,000 B.T.U.)9.50
ELECTRIC
y
O -./
xlt'.).
� HIE -1 L
Lender'sAddre
Lender's Address
1 certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county
ordinances and state laws relating to building construction, and
hereby authorize representatives of this city to enter upon the
shove -mentioned property for inspection purposes.
VENTILATION FAN (SINGLE) 4.001/6
PLUMBING
,Lp'
Q fyv
BOILER-CUMP(3H,P.Of100,0006.T,U.I 6.00
BOILER -COMP (Over 100,000BTU)SEEFEESCH.
MECHANICAL
r o
J
MISC. - REFER TO ORD.
TAX
pp
(We) agree rD save, indemnify and keep harmless the City of
Cupertino against liabilities, judgments, casts and expenses whielsCONST.
may in any wj true asainat said City in consequence of the
PERMIT ISSUANCE
granting of ISp iL
MECH, CONT. LIC. NO. MECH.
TOTAL 3 %
'
TOTAL
307'1'
glare of Applsant Contractor Date
OFFICE COPY
To
O\
I At
CITY OF CUPERTINO
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Date Building Permit No.
The Building Located at
Owned by ........
.........................................
Has Been Corn leted
<� For Use As: ........ !;.�- ......
(�Alt,re )P . ..........................
........................................................................ I ........................................................................
................................
PD -7
BUILDING INSPECTOR
CITY OF CUPERTINO OFFICE
COPY
GAS SERVICE NOTICE
You are hereby authorized to connect the GAS service for
New Service
No. ofMeters Reconnect L�'
No. of Add. Meters Move Service —107—
Move Meter —rfr—
PLUMBING INSPECTOR C
POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO '
PERMIT NUMBER
i•
140428
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
a.�sL36 L
JOB ADDRESS R .42o _LIN IT LOT#
PERMIT EXPIRES IF WORK
OWNER G.=�ecreo �<+�' CONTRACTOR GE.Q �L-�•o
IS NOT STARTED WITHIN
3{}8ODAYSOFPERMIT
INSPECTION DATE INSPECTOR INSPECTION RECORD
-ISSU-
FOUNDATION „� 0
CE OR 180 DAYS FROM
•
LASTCALLED INSPECTION.
LIFER
PREGUNITE ,
R VALIDATION
..
riplv
Q'. 1QlVl!I� ,
POUR NO CONCRETE UNTIL ABOVE HAS BEE SIGNED
�AN
2 •
UNDERGROUND/SLAB
Clty CL+De, fC.0
PLUMBING
ELECTRICAL -
ISSUANCE DATE
MECHANICAL -
SLOG.
ELEcr.
PLG. MECR.
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
BUILDING PERMIT
`.
INFORMATION
WOOD FLOOR
VALUATION
$/FT.
PLUMBING _ '
MECHANICAL
ELECTRICAL -
PERMIT TO
FRAMING
-
INSULATION
STORIES
TYPE CONSTR.
i lI�
All
OCC. GROUP
Y�.
RES. UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF 1 -
SO. FT. FLOOR AREA
TOTAL ACREAGE
u�f
DIAPHRAGM
BUILDING USE
RF,S IND CON PB GO.,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
125 El El El El
ROUGH
ASSESSORS PARCEL NO.
PLUMBING %-
GAS TEST
TRACT NO.
PARCEL NO,
MECHANICAL
ELECTRICAL FINALS DATE
INSP.
ACC.DATE
ACC. FILE NO.
FRAMING SAN # /5[.gL.j�
INSULATION PLUMBING Zfj-io-
ZONING
ENG. SITE NO.
.
_ GAS
` ANICAL - _
i
IRE SPR INK
"�
ENERGY T Y4
"�LATH—INTERIOR
COVER NO WORK UNTIL ABOVE HAS BEENING
� TRICAL
IDEPT.
FLooD zorvE
Y"�Y"�SHEETROCK
� A. L. u.c.
LATH—EXTERIOR
:, E-
WSIGNEO
FEESUMMARYy'a
SHEAR INTERIOR ING
BUILDINGFIREWALLS
SHEAR EXTERIOR7_TEMPORARY APPROVALS
TRIC- //'-30-
1
FEEN CHECK
NO TAPE OR PLASTER UNTIL ABOVE HASyBgPANCY
SEISMIC FEE
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505,
ELECTRIC
F ONE WORKING DAY BEFORE REQUIRED INSPECTION.
PLUMBING
77
z PLEASE GIVE JOB ADDRESS WHEN PHONING.
MECHANICAL
T
- SEE PERMIT FOR EXPIRATION DATE -
CONST. TAX
IMPORTANT!
TOTAL
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION
APPLICATION &PERMIT'
BUILDING -ELECTRICAL- PLUMBING -MECHANICAL
PERMIT NUMBER
14028
B°"°'"°'
aooRE3o MILLARD LANE, LOT 6
OWNER'SGERARD DEVELOPMENT
NAME
CORP: (415 ),NONE 941-414
CITY , ELECTRIC PERMIT FEE I
PLAN CHECK VALIDATION
OATE OF APPLICATION
CONTRACTOR
NAME
NAME 2-t 404 b
�AlN1� LIC. NO.
116 OUTLETS -SWITCHES -RECEP 10.00/1.00
LIGHTING FIXTURES 10.00/1.00
s JAI c,$T
CONTRACTORS TM,
anonT s '� rs -c 110_ c5I�A�4�
P P541-4P541-4141�
.'L, APPLIANCES -'RESIDENTIAL 4.00 �
PANELS 10.00 �
ARCHITECT
ENGINEER ARCHITECT C13629
IC.
PANELS (OVER 200 AMP) 20,06
PLAN CHECK FEE P.C. NO.
SIGNS TRANS.' 3.00
ARCH, OR EN •PERMIT
ADDRESS LOS' GATOS, Cil. 950.3
ZIP
SPECIALCIRCUIT 5.00,
VALIDATION
cam{ �
PA►,�
EMP. METER OR POLE INS. 20.00
ADDRESS
aooREs141FIRST ST.
MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
LOS AT -TOR, Cj% Q4022
Al lee
1`I
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9
fix 111F DATE
(commencing with Section 7000) of Division 3 of the Business and
PLG. MECH.
Professions Code, and my license is
is in full toy�pId f c
License Class c. Number
Date_i UP eo Contmcl
rn t -y7
,
BUILDING PERMIT
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason. (Sec. 7031.5, Businessand Professions
Code: Any city or county which requires a permit to construct, alter,
Improve, demolish, or repair any structure, Prir 10 Its IsSUance, also
requires the applicant for such permit to file a signed statement that
he is licensed pursuant to the provisions of the Contractor's License
Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5
INFORMATION
MISC. - REFER TO ORD
VALUATION S/FT.
PERMIT TO
U lu 4J
PERMIT ISSUANCE 10.00 _
Q
ELEC. CONTR. LIC. NO.
ELEC. ,y
TOTAL (� 1+1
OTY. PLUMBING PERMIT FEE
STORIES
TYPE CONSTR.
by any applicant for a permit subjects the applicant to a civil penally
of not more than five hundred dollars ($500).):
ALTER- DRAIN&VENT-WATER IEA.) 5.00
❑ I, as owner of the property, or my employees with wages as
their sole compensation, will do the work, and the structure is net
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of
property who'builds or improves thereon, and who does such work
himself or through his own employees, provided that such improve-
mems are not intended or offered for sale. If, however, the building
BACK FLOW PROTECT. DEVICE 4.00
OCC. GROUP
RES. UNITS
DRAINS -FLOOR, ROOF, AR EA,COND. 5.00
FIXTURES - PER TRAP 5.00 O ^
SO. FT. FLOOR AREA
3 Q-7/
TOTAL ACREAGE
'--
GAS - EA. SYSTEM -11NC. 4OUTLETS 6.00
Or improvement is sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or im-
b
prove for purpose of sale.).
❑ 1, as owner of the property, am exclusively contracting with
. ..
GAS - EASYSTEM -OVER 4 IEA) 200
BUILDING USE
RES Irv0 CON PB Omer
A ❑ ❑ ❑ ❑
INDUSTRIAL WASTE INTER. 30.00
LAWN SPRINKLERS - 1 INC'5 V.B. 6.00
LAWN SPRINKLERS - OVER 5 (EA.) 1.00
ASSESSORS PARCEL NO,
g
3d. 6 -L?4 5L.
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code: The Contractor's License Law does not apply
to an owner of property who builds or improves thereon, and who
contracts for such e with a contramor(9 licensed pursuant to
the Contractor's LicencenLaw. Law.
❑ lam exempt under Sec. ,B.&P.C. far this
on
/ SEWER -SANITARY -STORM EA. 200ft/10.00
- TRACT NO.
D
0��0�
PARCEL NO.
,
WATER HEATER W/VENT 6.00 �'
Owner - Date
5.00
WATER SYSTEM
ACC. DATE
ACO. FILE NO.
WORKE:RS'COMPENSATION DECLARATION
WATER TREATING EQUIP. 5.00
1 hereby affirm that I have a certificate ofconwnl to self -insure'
or a certificate of Workers: Compensation Insurance, or a cerlilied
ZONING
ENG. SITE N0,
copy thereof(Sec. 3800, Lsb.C.),
Policy No. Company
FIRE SPRINK
V ❑ NC]
ENERGY T 24
V ❑ N ❑
❑ Certified copy is hereby furnished.
,W Certified copy it with t city inspection division.
Applicant
MISC.- REFER TO ORD.
CERTIFICATE: OF EXEMPTION FROM WORKERS'
PERMIT ISSUANCE . 10.
FLOOD ZONE
A, L,U.C.
PLG. CONTR. LIC. NO.PLG.
�.p/
TOTAL )
COMPENSATION INSURANCE;
(This Section need not be completed if the permit is for one
Y ❑ N�
Y ❑ N❑
DTY MECHANICAL PERMIT FEE
FEE SUMMARY
hundred dollars (S 100) or less.)
I certify that in the performance of the work for which this per-
mit is issued, I shall not employ any person in any manner so as to
BUILDING
become subject to the Workers' Compensation Laws of California.
Date Applicant
NOTICE TO APPLICANT: If, after making Ills Certificate of Ex-
ALTER OR ADD TO MECH. 5.00
APPLIANCE 5.00
PLAN CHECK
emption, you should become subject to the Workers' Compensation
provisions of the Labor Code, you must forthwith comply with
Such provisions or this permit shall be deemed revoked.
AIR HANDLING UNIT (TO 10,006C.F.M.) 4.00
FEE
AIR HANDLING UNIT(OVER IOPWC.F.M.) 6.00
SEISMICFEE
/3
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for
the performance of the work for which this Inch is issued ISeC.
3097,,'S /L�ny- �-
EXHAUST HOOD (WITH DUCT) 5.00
MICROFILM
HEATING UNIT (TO 100,000 B.T.U.) 6.00 �-
HEATING UNIT (OVER 100,000 B.T.U.)9.50
ELECTRIC
y
O -./
xlt'.).
� HIE -1 L
Lender'sAddre
Lender's Address
1 certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county
ordinances and state laws relating to building construction, and
hereby authorize representatives of this city to enter upon the
shove -mentioned property for inspection purposes.
VENTILATION FAN (SINGLE) 4.001/6
PLUMBING
,Lp'
Q fyv
BOILER-CUMP(3H,P.Of100,0006.T,U.I 6.00
BOILER -COMP (Over 100,000BTU)SEEFEESCH.
MECHANICAL
r o
J
MISC. - REFER TO ORD.
TAX
pp
(We) agree rD save, indemnify and keep harmless the City of
Cupertino against liabilities, judgments, casts and expenses whielsCONST.
may in any wj true asainat said City in consequence of the
PERMIT ISSUANCE
granting of ISp iL
MECH, CONT. LIC. NO. MECH.
TOTAL 3 %
'
TOTAL
307'1'
glare of Applsant Contractor Date
OFFICE COPY
To
O\
I At
CITY OF CUPERTINO
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Date Building Permit No.
The Building Located at
Owned by ........
.........................................
Has Been Corn leted
<� For Use As: ........ !;.�- ......
(�Alt,re )P . ..........................
........................................................................ I ........................................................................
................................
PD -7
BUILDING INSPECTOR
CITY OF CUPERTINO OFFICE
COPY
GAS SERVICE NOTICE
You are hereby authorized to connect the GAS service for
New Service
No. ofMeters Reconnect L�'
No. of Add. Meters Move Service —107—
Move Meter —rfr—
PLUMBING INSPECTOR C