2481 20063 Merritt Drive LOT No. 2n
NO. STREET
Djax VP ATION FOR GAS PERMIT
AUG 9 1963 _ , CITY OF CUPERTINO
Date--At 6 , 195 Permit No.
!TY OF CUPERT' "n Fee $ d
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
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
v
c
aUse of Premises Residence
v
Owner Blossom Valley Homes Address 20063 Merritt Drive
By Amaral Plumbing Address �Alameda
CONTRACTOR, AGENT• �-
Qj Phone A16-3963 —f Approved PLUMN�PbECToa
c) z
GC
o n v
`n ^ -------
�y F ------------- C
'a
zzl -------------------- 7y �
O ; ♦ A — rt
A t
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
...........i.,................... ................. 194.
To You are hereby Nauorized to connect the S service for
Owner or Tenant ... ........... ....
. . .. ....... .....
At ... ..........
New Service ..........................
No. of Meters ............. Reconnect ..............................
ove Service ----- ..................
No. of Add. Meters ........... ove Meter ..........................
...........-
Pl, ING SP,CTOR
110 6/63-500