578 . L'/,�� •� - LOT NO. FSS
STREET.
PL
J�pFOR GAS PERMIT
tTl 4 "`®Et1 CUPERTINO
a/ .1959
' Date , -195_q_ Permit No._���
1�( ,�y�p'� �i moo'
\ �itat b If CUP E 1 INO Fee $1
Ap Nin i ereby 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.
c
Use of Premises (�e'-3 i�//IJ �Le,• c�
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0wnef_�_&e66 J_Jf_�_ tri-il_C,) Address
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By l Address7f 6 iY r
CONTRACTOR, AGENT 711SPhone V hrt�p!%I �•5 t� Approved; PLUMBING INSPECTOR 1 ,..+.
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GAS- SERVICE NQTIq-E i OFFICE
COP}'
BUILDING INSPECTOR'S (W,JCE�
CITY OF CUPERTINO,`'r
- I,,�Q�:i.. ....... 19:45. .
To . ..;r .
- " You are herebyn u ho/orrized to connect the GAS smice for
Owner or Tenant
................................ ..
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New Service
No. of Meters ....../.:...�.....:1, Reconnect ..:.:.._:....................
Move Service
r
No. of Add. Meters".............. :Move Meter -.........
+ C/ PLUMBING INSPECTOR;
110 r,/59-sno