1981 1otncto I Llkn. _ t�1re . NO. 7
NO. jqS��^R�EET
? `S2App�'C(,1�'Ay�TION FOR GAS PERMIT
AU 2 2 1962 I �I •CITY OF CUPERTINO
Date .1 Y 196�-- Permit No.
CITY F CUPERTINO Fee a
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
w and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
x
8
Use of Premises
v
Ow r_W -2'M..- _ Address
By CO Address/O
CCCa /� CONT �9b RACTOR, AG NT
C Phoned/- �- ' Approved
PLUMBING INSPECTOR
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MF
'^\ _ OFFICE
YVGAS SERVIt NOTICE COPi
BUILDING INSPE OR'S OFFICE
CITY OF tUPERTINO
To 196
You are hereby authorized to con ect the G S service for
Owner or Tenant ...
At
New Service -64 .....
of Meters .../-__._.....-..... Reconnect
Move Service
No. of Add. Meters --------_.... Move Meter
-- -- - ...- .................
UMBING INSPECTOR
110 7/61-500 .