490 LOT NO.
NO., . S7AH8T
2 2.4 8 ARAN N FOR GAS PERMIT e.
UPERTINO
Date w I-� 1 , � Permit No.
In,ITY (�� /'���p[p� p� Fee S
Applica[ibn`is Bfteby QL Fdi 1VtQof Cupertino for a permit to install gas pipes;
In and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
`1 and/or appliances in,accordance with the provisions,of the Plumbing Code of the.City
of Cupertino, and all other lawsapplicable thereto.
Use of Premises
r7i .,Owner -`-?f7�//I -- L�,�� / ddress
BW. L. k1QKEV SONS.,ING. '- Address
P• QONTCACTpQ',@GENT
Phone Sunnrvelw Gnll� / Approve��
PLUMBING INSPECTOR /� ,
w ;
____________________ y
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O F R ry
GAS SERVICE rOTICE: �. OFFICE
COPY
BUILDING INSPECTOR OFFICE
CITY OF CUPERTINO
......... .............�'._;4:_/o-_-a.� -• 195P-.7
To
You are hereby authorized to connect the GAS service for/J
Owneror Tenant ---- .. . . vv.' ,--.....��.. .:....... .....:.........
.r�
...
At
1. .... ....
/ New Service Ao�......
No. of Meters ..(. .. Reconnect ..............................
1 - rove Service . -
.............::........:
I ' No. of Add. Meters ---- ------ .: ,��f' Move Meter ..'.......................
....................
: .... '
L, r PLUMBING INSPECTOR
110 6/59.500