2350 s :
a0L��6 LOT NO. (/
No. sine
m
�� CICArT4!1Y?jr0F
N FOR GAS PERMIT
"fit ' JUN 20 1963ccuPERrINo
c p Date IA� 14 196 Permit No.
s C°1Y OF CUPERTINO ' d
Fee
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
m
and/or appliances in accordance with the provisions of the Plumbing Code of the City
V of Cupertino, and all other laws applicable thereto.
v
Use of Premises 44A. '.�.eiJ't t IZ-
v
in Owne Address—
By
ddress By Address Q
CON Cl nclt r WILL AM D. BENEVICH
Phone ��� ' Ff/// Approved
kL PLUMBING INSPECTOR
nC)
C
Oro -n w o oG, •o. 0° `� 9
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v ^ — --
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--------------------
p i
GAS SERVICE NOTICE orelYE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
--------------:.............'---. .. ...D---D............ 1
I
To
You are hereby authorized to co ct the GAS AZ
`
Owner or Tenal t ................._...... .... ......... .. ... 2(�.Aa„ .......
At ............. �.. .... ,I.tc� .... /....
New Service .... .............
No. of Meters .. .......
/......... Reconnect ..............................
ML....
No. of Add. Meters .._. .... . ........ ............. .:...
PLUMBING INSPEcTo
110 G/G3-500