311 LOT NO.
NO. , STREET _
2155 APPLICATION FOR GAS PERMIT
CITY OF CUPERTINO a
Date ® 1 5 Permit NO-4j
�N Lit
PR 101959 Fees s/ —
Applicaa js,hereb made to the City of Cupertino for a permit to install gas pipes
C and/or gas ce liseew��( side hereof, and agrees to install said pipes
and/or appliances in accordance wtth'thh• ovisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
SLOWER FURNACE
Use of Premises BETTER CUPERTINO HOMES
u IDLEWILD TR #21S:5
iq Owner SAN CARLOS SH E'AddMETAL WKSress .
9 L 'UN "" RD.- SAN CARLO9
By Address
CONTRACTOR, AGENT
Phone ' Approved �
P. ( ING INSPECTOR -DL /
Remarks (Check ✓) .
Type of Appliance I Units Fees II New Replace Relocate
Gas Ranges
'Wall Heaters
Gas.Plates
Circulating
Blower Furnaces .
Gas Fired Boilers
Warming Ovens
-Percolators II
Griddles 'II
Steam Tables
GravityFurnaces I ��
Suspended Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
I I II ' I h
te Fees
Inspected and Approvl—rT5
pp tan
DATE. INSPECTOR
HOUSE GAS`PIPING
Number of Outlets Size of Main
Gas Piping Fees l `I
----
Tested and Approved :. .........
:........... ........................._..................
DATE INSPECTOR
S y
GAS SERVICE,, 40TICE oFFlcr ;>
coPs,.;�c
BUILDING INSPECTOR'S OFFiGE
> a CITY OF CUPERTIAO
..............10_2 .... =i 9
To ,:.'a., i, ...... t,
.
You are hereby authorized to connect the GAS service for
Oanet Tenant .......... Better Cup _ faOme$ --........................................... . .:...............`_.-........... .
i _ r•t..�.h'vJT.t'�-4w Yno- 's:.
-----------------------
A,
..
• ,." � New Service,.,;...g::,:.-:r."............:�
No . ... .. . .� '
;
Move
IS ..
ea.t .• _
�_,�.,•. No.._of,Add. Meters Moye;Meter
-----------ot
1
ix ti
, , = P0 BING INSPECTOR
'd IO (,/59-500