666 LOT NO.
r, No',� . STREET
A c 7pk PPLIANCE PERMIT
r DEv 2 9 Alt L�►fUPERTINO
Date DEC 2 8 1961 , 196----- Permit No.
CITY OF CUPERTINO Fees /
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing bode of the City
of Cupertino, and all other laws applicable thereto.
c�
V � t
Use of Premises
7 Owner �+r _ Address
i
Address _
-� ACT00.r AGENT
HPff)I,F. & SHEET METAL CO. Approved
' PLUMBING INSP7l
ECT
-..180<E..,SUN.NNYCAKS;AVE., CAMPBELL,ICALIF,,t_ f,_ i '1 I i t u i
tCn� N� C1 lA (l C)
In
'O N
N --------- -
y `S
A .
01 GAS SERVICE •NOTICE, OFFICF
BUILDING INSPI3CTOR'S OFFICE :.;.COPY
1 ' CITY OF CUPERTINO '
To - 1
You are hereby authorized to connect the GAS service to,-
0 w n c r
orOwner or Tenant ..:. '
' - New Service _.
No. of Meters ......1,..._._........ Reconnect ..... .................
Move Service _----_--------
No.
____No. of Add. Meters .-......._.. Move Meter ..---- ----
r ,
.PLUMBING INSPECTOR
. ,
110 1/60-500 ar•�?' •' "