1807 LOT NO. 2 d.
D G= '7�PP I I" GAS PERMIT
Date=JUN 2 0 1962 cF CUPERTINO
191 Permit No.
OF CUPERTIN0 Fee $
kl 'Application is hereby made to the City of Cupertino for a permit to install gas pipes
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.
v
:a
Use of Premises 3 F:uk"'& kil S
1 I
in Owner wlAddress
By Address a
ONTRACfOR, AGENT I
Phone ��1 "b .Z Approve
PLUMBING INSP O
Remarks (Check *F)Type of Appliance I Units Fees II New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces -�-j I
Gas Fired Boilers
Warming Ovens
Percolators
Griddles it
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous I V1
NAME TYPE'
pp lance Fees —11
Inspected and Approved ...... _.... _p ..... ..Q.. . ...........
pAT INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Pi
J ping Fees
_
Tested and Approved .1.. .- .� . ..
DATE N ECT00.
OFFICE
COPY
GAS SERVICE NOTICE
BUILDING .INSPECTOR'S OFFICE
CITY OF CUPERTINO
............... ........................... 196. —
TO
You are hereby auth rize to 4nnect.the/ service for
Owner or Tena . ... .. ..
..
At.............. ...Q.k..... -- ,------ .... .... . . .....
New Service ......
..........
No. of Meters ......... ....... Reconnect ..............................
Move mice ........................
e
No. of Add. Meters ----------- Meter ..........................
......................................................... - -------------
PLUMBING INSPEZ
110 7/61-500