639 ��Cl2C I Bonny Drive ' LOT NO. ..9A
NO. STEHET
APP,L'IC-BION F�OR� APPLIANCE'. PERMIT
�� � CITY OF.CUPERTINO
_ CV Date 2-5-61 196..... Permit No.
4 .
CITY .C;° PI'ERTINO Fie a,14
1.50
Irl 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 rode of the,City
of'C4p8rtino, and all other laws applicable thereto.
"''''UseofPremises resides C e
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PL5§5)G8 C nelrCiTOTnmhmcl el#_IIpcoi Ara_ _ Address 11 _
N'dAddress
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IPLUMBING INSPH
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GAS SERVICE NOTI, °orYE
BUILDING INSPECTOR'S3-Ctl' Cl <^�� :^'t•�,'
CITY ,OP''CUPERTINO�'• -
, -e
To 96-
Y.
'�1}'You arc Hereby authorized to connect the GAS service for -
f
` Owner or Tenant ---- - - ....
f __.. .-.
........................................
New Service V--
- J r
No. of Meters -------
------- Reconnect ------------- r
Move Service ---- "----'-----
No'.of Add. Meters .._...:.._ Move Meter -----_.-----.- " +'
`O
�Z "r_Y L BING INSPECTORy • =�
110 1/60-500 r: