2327 ,pp c yy// -•Q
LOT NO, yJ r
NO. Qui rSTRRET
APPLICAT,1.0) FOR GAS PERMIT
w
i i CI OP CUPERTINO
y O
o a Date 4:-1196a Permit No. 3 Z
U O
= a Pec•$_/�J
0 Application is hereby made to the City of Cupertino for a permit to install gas pipes
`o a
an gas appliances as listed on the reverse side hereof, and agrees to install said pipes
> H and/or appliances in accordance with the provisions of the Plumbing Code of the City
<w of Cupertino, and all of r laws applicable thereto.
FF .
j LL Use of Premises
00
3 Owne Addres
oa
z J
� z By Addres (-/&a-77
o / CONTRACTORAGENT i
W i Phoney!/ �� '3
` u f State License_A s� A roved W14-PAM D. BENEVICH
U PP
:t. .
Ky.
r. MING INSPECTOR ,
`} . � ti..
yo2 % ' ( g2o7 ,4-13 f
2 « T aE Q � � eE • / - � mE = - �
E , B , ; a �
� 2tz Z7 `
/ ;
ƒ
; �
GAS. SERVICE NOTICE- OFFICE
COPY
BUILDING IISSPECTOR'S OFFICE.
CITY
OF CUPERTINOI '
........................... . .................. ............. 196. ...
To
You are hereby,aut or)I ed to connect the GAS' service for
i
rOwner. or Tenant :. ,.!% -( .A..0.t..--tit..:: .;lLit.. .. "f.frr�d!- .
... '
S. s , .... oTr
,
.,::..�E.:.'....lr�...'�i1....• ...}.:.t:C�L•.�5:-fir- /c.Q... .7
. . .._ :.. ...................... .................... . ...Y +
....•.. r ,'r.
No. of Meters ... ...:............ Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. ove Meter ....:.....................
M.
PLUMBING INSPOR/
110 6/63.500 - '+• ; ii