109 X0720 LOT NO. :76.
®
LI * OF
R APPLIANCE PERMIT
• MAR 25 1960CUPERTINO
h R
196..... Permit No. 10 _
Fee S ��
Q 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 rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises / L
r7 ` Owner "'"""^r"" Address
By BIVISIO Address ��((
HEATINGc�N9cETI PME"r 0: `�(1,��La?v✓ 112s4•t/ 1a
Ph1��fiy�pRFl rni a Approve .L LC
• I^ i ! i PLUMBING INSPECTOR
Cl C) EIS
9
rt rt A. C a' W G Oroto
a � a
� a q
G
—w
m "V
� . ng
I � I
r ` -ori;1Ca
GAS SEfiVIC NOTICE COM,
BUILDING INSP • TO� 'S OFFICE
V CITY.OP CUPER INO
,.. / ............ ....
- .
To
You are hereby
�auutth0 med'i-toJconnect the GRASS se ice for
Owner or Tenant ..4...."..4Nw..�.�.-u�...-tom•— .... --__
New Service . ................
-: No. of Meters ............ Reconnect
' Move Service..-..----..----------:
No. of Add. Meters ........... Move Meter .......................
PLUMBING INSPECTOR
110 6/59-500