Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
486 �r LOT NO,
No MEET .
2.2 48
APPLICATION FOR GAS PERMIT L
— T� 01 CUPERTINO
^) Date r I� Permit No. -
Fee
�j
�n Ap6fftyn Qs Fre fiWTt1N©ty 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-pipm.
and/or appliances in accordance with the provisions of the Plumbing Code of the City,
of Cupertino, and all other laws applicable thereto.
Use of Premises s. ;>
OwnerL, Hlc"KF 50A"_S. "'cr� L / Address(
BY—.
P. 0. aux 578 Address a'
�ueetgrn ec uA}I2GR
i Approved
Phone _ I . ' - PLUMBING INSPECTOR . �. r.,..
W1 n y G) �v
DQ
K w
� o ^ n w
rt p.
n ---------------------
y —
z ro -------------------- N.
-
T
-�
