312 f /O y1-70 � 0�� 1 LOT NO. / O U -
NO. STREET
2155 APPLICATION FOR GAS PERMIT
CITY OF CUPERTINO
O
Date ® Permit No..., t"
,APR 101959V fFee $
/MPl herebyAm_ade to the City of Cupertino fora permit to install gas pipespipes
\ and oi'���s ce�'ls�4D``P2� t11Y1fV1everse side hereof, and agrees to install said � i es
and/or appliances in accordance with the provisions of the Plumbing Code of the City.
of Cupertino, and all other laws applicable thereto.
u
c BLOWER FURNACE
V
. a Use of Premises SETTER6ld^^RT'N^ '-'nG
u IDLEWILD TR #r2151$
a
h Owner SAN CAR LOS SHEETAddressAL WKS.
B Y ,779 OLD COU N� D.-SAN CARLOS
ss
CONTRACTOR, AGENT
Phone Approved
P! MEING INSPECTOR'
IJP • I I I � � I I I
Remarks (Check J)
Type of Appliance I Units Fees II New Replace Relocate
,Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters .�
Blower Furnaces
.Gas Fired Boilers
Warming Ovens _
Percolators I 1 -' 11
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit �' � I � � .
Floor Furnace
Miscellaneous I TOW
NAME TYPE) I I -
��
7-F•
I1 �'
pp lance Fees S
inspected and Approved .....�3Y..�.......-
DATP, µINSPECTOR
HOUSE GAS-PIPING,
Number of Outlets Size of Main c
Gas Piping Fees /•.
Tested and Approved l �— --
DATE INSPECTOR
GAS SERVICE.. NgTICE OrrlCe
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN qq
1... .......:.....!' ..l....., 19.
To
You are hereby authorized to connect the GAS service for,
Owner or Tenant . .... . L• -/�"-�. — gyp.
At�Q.�:�-7 ... a-1 c.s - ....................... .........PL.''
New Service .........
No. of Meters ...._ ......... Reconnect
Move Service .......................
i
No. of Add. Meters .....:::...... Move Meter '.:.:.....................
... LUMBING INSPECTOR
110 6/59-500