675io3S
NO.
CATIO
DEC 29
LOT NO. 139
PPLIANCE PERMIT
Permit
.. Fee S
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 said
appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises c
& SIOP"€M, WNr
i
Address
Address
Approve
PLUM a1NG "spacT
!1
0
T
GAS SE'WICI N, TICE
BUILDING INSPECT. R'S OFFICE.
CITY OF CUP'.RTINO
To
You are hereby authorized to connect the GAS -service for
a
Owner or Tenant /..tl� . _ ------:._..
At ..�I 1...'.... L tin Ci............
OFFICE
COPY
New Service -Com. ...............
No, of Meters Reconnect .
Move Service
No. of Add. Meters -------------- Move Meter -__------....._--------
PL BINE INSPECTOR
110 1/60-500