491NO. SMEET-
0 FOR GAS
..r
LOT NO.
PERMIT
((����TT ((���� /���n Fee $ Z
Applicaftibbli�A mQJPElliTjNO 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.
Use of Premises
a
0
T
GAS SERVI'OE NOTICE•.' °oPCE
BUILDING INSPECTOR:& OFFICE
CITY OF CUPRRTINO
. F .
To. . ' p
You are herebyiaauuthorized to connect the GAS service for /J
Owner or Tenant ..N.!.a2�1..3n--i G!"1.7s...f.3_._.4%51....•....................:......_, -
Atd.�.Z...�..�..:.. .... /L
..IVew, Service..:_.........----[.......
..No. of Meters.:............`..`.... ' 'Reconnect
;.,
j�
Move' Service' ."..:................a ,
No: of Add. Meters .:..:---:--;• , Mo e Metev.:: ....:.......
....
1p PLUMBING INSPECTOR'
no 6/59.5no