557 (2) V LOT NO,
rpT
8f1CR APPLIANCE PERMIT
96T OF CUPERTINO
D21TV OF /'I IDCDTM, 196..... Permit No. sJ
J
Fee S
Application,is hereby made to the City of Cupertino for a permit to install
gas appliances as listed,onjhe reverse side hereof• and agreesto install said .
appliances in accordance with the provisions of the Plumbing lode of the City
y of Cupertino, and all other laws applicable thereto.
2
Use of Premises tton
Owner F'2f : I i :lin CA Lc?an Assoc 1p
By Address
TRAC � AtE '
Phone �Sbuto 2TO0.-J3� Approv LAIC
PLUMBING INSPECTOR
"n C). , n CC) WC) C). E.y
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———————————————
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1 ` GAS SERVIC(-IOTICE ,'-, OFFICE
COPY
• - BUILDING INSPECTO 'S OPPICL
CITY OF CUPr INO
�;
i
196.)---
To 96.)To - ,
You are herebjau�;,orized to coonect the GA serece for
AOwner or-Tenant .C. U—Q ........._...-----.....------ -------`-...`'-"+,.a-'cd l
--
• t - New Service .......................... -
` No. of Meters -: t ...... Reconnect ..................
Move Service ......................
No. of Add. Meters .:............ ve Meter `..-... ...--.......
PLUMBIN!hINS� R
11.0 1/60.500 -