1920 46 LOT NO.
NO. �/IFPLryT FOR GAS PERMIT
' JOG .3 1962�I' 4F CUPERTINO
Date `-�^�• N1�5r Z Permit No. Z 7C:zo
Y., OF-TWERTI
o �O
' Fee $ 3 r
Application is hereby made to the Cit of Cupertino for permit to install as pipes
PP Y Y P P 8 PP
and/or gas appliances as listed on 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.
Use of Premises l �
Owner Address l u '
B Addres y ��
CONTRACTOR, AGRNT �
Phone tJ/✓7_ 3 e/ Approved
I PLU IBING INSPECTOR
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. .. f OFFICE
.. COPY
GAS SERNOTICE
ps t BUILDING 'INS ECTOR'S OFFICE
d/ CITY OF CUPERTI)O
To .....
�/ J.Y.........-------..- 196...
You are hereby au ed to connect the GA8.servic
d . .. . . .....
Owner or Tenant . .... . . ,..., ...-- -
- At ----�/��......... ........... ..:.::.:..............
New Service ----- ...:...:..
• No. of Meters ..../....------,....... Reconnect
.. g..: .�. _; �. �: ... •. Move Service. ........................
N
`� ,, ���•:`"'.,'<' o.-0. fAdd. Meters .............. Move Mier �y '
INSPECTOR'
110.7/61-500