1574 / 6
� � �^' LOT NO.
NO. STREET
ff
FOR GAS PERMIT
Cl OF CUPERTINO
it R 23 1962
Date_
ate -j 193�z Permit No. 1,S771
CITY OF CUPERTINO
Fee S_r�
Application is hereby made to the City of Cupertino fora permit to install gas pipes
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.
Use of Premises P
n / 6 C
Owner Address
By_
AVf'�-lplii Co Address
CA�/ CONTRA R, A ENT
�— '1gPhoneApproved C
PLUMBING INSPECTOR
T1l- R
w
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° 4
i --a
9 n 9 I b
OFFICE
COP),
GAS SERVIC OTICE
BUILDING IN SPE O 'S�'OFIICE
CITY OF,�p - C Eil4O
To
You are hereby au iorized to conned the GAS service f
/2-
Owner or Tenant .. -------------- .��-Zt<......_ _..�.._.......-
At .... _U(r -------
... ... .
New Ser e
No. of Meters ..../._ ----------- Reconnect
Move Service
No. of Add. Meters Move Meter .... ----------------
PLUMBING INSPECTOR
NO 7/6t-5oo