2746 OT NO.
NO, 9
APPLICATV!O' ' GAS PERMIT
wZ CIT'INO
3 a Date �w1 1
U
• 1.96'L y t�nn No?4
w Q��� I'eC•a �
° Application is hereby made to khe�Clty.cfPtupe mo for a permit to install gas pipes
oa and/or gas appliances as listed on the ryL7e side L7ereof, and agrees to install said pipes
'zm and/or appliances in accordance with-th�-WP isions of the Plumbing Code'ot the City
a w of Cupertino, and all other laws applicabl6.,(h6reto.
w 2
j LL Use of Premises RESIDENCE: '
o °
oa Owner Ward Crump AddreOPO Box 634 Cupertino
ZJ
o By Crowley Company AddressH5 Jackson Mtn View
3 r CONTRACTOR, AGENT
0
— Phone
w Z
w w
0h 166998 / `
0 o State License ApprovedCL- -
('—U
.F' PLUMBING INSPECTOR
» oz � $ e » $ ; ) oeeeayy
\ /
\ .
x% x r\i
' (5