1087 (2) LOT No /fJI
JJAON
,��/!/ AUG12FOR GAS PERMIT
//�� � CITY,OF CUPERTINO-
.Dat�j��lS3� y VUa1711\T1N0 195_ Permit No. <251
d0:
Fee S� —
Application is hereby made to the City of Cupertino fora permit to install gas pipes;
1) 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.
a,
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u
Use of Premisesp_M
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1-F
1111' l
In Owner AL Address
!'By 0 AMARAL PLUMBING, Milk Address
590URTNEoALAMMA
..Phone SANTA CLARA, CALIFORNIA ApprovedIr -' C-L-z
PLUMBING INSPECTOR
Remarks (Check J)
Type of Appliance I Units Fees II New Replace Relocate
Gas Ranges '
Wall -Heaters
Gas(Plates
Circtl ating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators -
Griddles
St: Tables
Gravity Furnaces
Suspended Unit II
Floor Furnace
Miscellaneous
NAME TYPE I I I
pp I -
anceFees
Inspected and Approved ---..-.......:. - ............................._......--....-..-
DATE .INSPECTOR
HOUSE GAS'PIPING_
Number of Outlets Size'of Main
Gas-Piping Fees
—�--
TesteB and Approved . . . .....9..� .. .. .... ........... .....................,
DATE INSPECTOR
OFF16E
GAS SERVICE 'NOTICE copy
- BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........................ .0.............. .......... 196-6.
TO
You are hereby aut riled to connect the GAS-Sprvice for
Owner or Tenant
At... ... .... ... ...... ..........
.... ......... .......................... ......
New Service ..`..................
No. of Meters ..... ------.......... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter '*--- ------------------
....... --- --- . . .ii...........
110 1/60-500 JM