668 LOT NO. " x `
NO. STREET
' APPLICATION401t GAS PERMIT
CITY OF CUPERTINO
iUl. 24 1959
Date JUL E 2 1959 195= Permit NO.
a CITY OF CUPERTINO Fee$ 5'
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed an 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.
u i
c
Use of Premises
n Owner t�ctnN2�+ Address_
By—--p-" VISION
I Address
1 e Sfsvaas'e ee�„ RSanta Clara, Calif. Approved A.
Phone PLUMBING INSPECTOR
Remarks (Check I)
Type of Appliance I Units' Fees II New Replace Relocate
'as Ranges
Ir/allSHeaters
,has Plates
Circulating Heaters
Blower-Furnaces
Gas Fired Boilers
Warming Qvens
Percolators,
Griddles
Steam Tables
Gravity Furnaces
°Suspended Unit II
Floor Furnace
Miscellaneous
(NAME TYPE) II
pp lance Fees 17PI
¢ISI"spected and Approved �2._ .Q_.I. ..�..T....-._.......-
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets jSiie of Main
Gas Piping Fees I t T V
Tested and Approved ............:.......�...... ......................................
• ? DATE „ +� ' INSPECTOR
GAS SERVICE NO ; C •OFFICE
j.. BUILDING INSPECTOR'S O "• COPi
CITY OF CUPERTINOTo
n .
' .You are hereby authorized to connecbthe!!GAS service for *f is zl � K
Owner or Tenant
... ........
At . ...... . . ......✓...........R..C./.
....... ........... ..........-.....-:...
New Service ......v......
No. of Meters .......I.............. Reconnect ............................... • '.
I
Move Service ........................
No. of Add. Meters .............. .r Move Meter ...........................
PLUMBING. INSPECTOR
15�
� iio'�6%59-Soo - � •