1960LOT NO.
NO. STREET
�m LIGATION FOR GAS PERMIT
OF CUPERTINO (� /
tV .1 , IIts 10 1962 % 194 y Permit No.
Application_is-berebk de:toahe_City of Cupertino for a -permit to install'gas pipes
and/or gas appliancespas hsted?iir +'i ie.reverse side hereof, and agrees to install said pipes
aft appliances in accordance with the provisions of the,Plwnbing.Code•of-the.6ity ,
= __of. Cupertino,land'aILo'ther' laws applicable thereto.
.c Use of Premises.-'' -. - - - - _
00 00,
+ n Own
g Address
cONTRACTO" AGENT
Phon ' .7 Approve
PLUMBING INSPEC R
of Appliance I Units Fees
Inspected and Approved ... ........... .................... 1�e� -------
HOUSE GAS
Tested and Approved