492 ,�1 �JO� 'LfIrOLJ LOT NO. _ ••
NO. STREET-
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2 4 b . APPLICATION FOR. GAS PERMIT
CCCA,,,,IITY OF CUPERTINO
Date 05 '' �B���i Permit No..�
?, ,MAY 181959 �' Fee $
I Application is hereby made to the City of Cupertino for a permit to install gas pipes'
and/or gas appli s d gnit� eTt� jo hereof, and agrees to install said pipes,
and/or applianc i cc ance l e provisions of the Plumbing Code.of the City
c, of Cupertino, and all other laws applicable thereto.
Use of Premises
ess
By W. L. MICKEY SONS. INC:- —=dress
P. CaNLIAcioitJA~4EN .. •' //
-.'Phone A""n.ynle CnIH. ! Approve -'L • .•t s.a`i-
4 I PLUMBING INSPECTOR ,
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GAS SERVIC „ 4OTICE orPlce
COPY
. BUILDING INSPECTORS;OFFICE .
CITY OF CUPERTI�'IO
....... . / 1
To
You are hereby authorized to connect the GAS seivice for
At ........................................
New
ice
No.-of Meters .... "'t -` Reconnect _......................._
......
,. ..
Move Service ..............
No. 1of.Add. Meters ..... , . .. ...MoveMeter ..........................
............. .
PLUMBING INSPECTOR
IIO 6159-500 -