1271�a
LOT NO, (:::>2'4C
d PERMIT
Zra
�ntn195-[. Permit No. [ C9`1
Fee $ m0�'�
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 ap6et )aws applicable thereto.
Use
CO TR CTOR, AGENT
Phe S�Z� O V
PLUMBING INSPECTOR
GAS SERVICE NOTICE OFFICE,
COPY
` BUILDING INSPECTOR'S OFFICE 1
CITY OF CUPERTINO
_.. /—------- ------ - 196 ------
To .To
You are hereby authorized to connect the GAS service for
Owner or Tenant .�/-^c^="'G.'lt..� ..---............ ........._.
New Service No. of Meters _./................ Reconnect ...............
Move Service ..........
No. of Add. Meters -------------- Move Meter _.......................
...
-------- .-------------- ---
PLUMBING INSPECTOR
110 1/60-500