51001.2 22465I Linda Ann Ct. /S�
LOT NO,
-I"5
�SS,T,,R T�+
49MI Xf6tTignz..",
N FOR GAS PERMIT
Z ®, AUG 17 1966 OF CUPERTINO
Y L ,
- Aug. 12 6
3 U Date 96_ Permit No.
LL CITY Of CUPERTI a Fee $—kLo
O Application is hereby made to the City of Cupertino for'a permit to install gas pipes
o and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
i m and/or appliances in accordance with the provisions of the Plumbing Code of the City
W of Cupertino, and all other laws applicable thereto.
Residence - Lot 15
Use of Premises
00
3 Owner Franklin-Bahl Dev. AddreJ.C. Box 911, Campbe
oa
;= fl Central Service Co. , Inc.Address 451 Queens Lane
�,o y CONTRACTOR,AGENT �an Jose
3 Phone 298-19556
7 537
o a State License- Approved
0 PLV\IEINC INSPECTOR
Remarks (Check d)
Type of Appliance Units Fees New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets I Size of Main -
.Gas Piping Fees 1 /10
Tested and Approved . ....... ..............._ ............
DATE. INSPECTOR