564NO. STREET
AT
JUN 5 fj959I
Date n e.
CITY OF CUPERTI
Applicatiori� is hereby made to,t
C\ . 'and/or gas'appliances as"listed on t
and/or appliances in accordance wi
of Cupertino, and all other laws ap
c"
:a L nC LX Use of Premises__
11
LOT NO.
FOR GAS PERMIT
CUPERTINO
Y
.195-1 Permit No.
NO .. Fee $.
he City of Cupertino for a permit. to install gas pipes .
he reverse side hereof, and agrees to install said pipes..
th the provisions of the Plumbing Code of the City,
plicable thereto. .
Owner i1n J 1 �VAQL Address
By �I� �P 1-1. a lA Address RedIJoo�u4
:
(� CONTRACTOR; AG NT
J'. A
a Phone NA _ • �p t� j p PPI
PLUMBING INSPECTOR
I
O
T
/
i'
GAS 'SERVICE N TI 5 E
BUILDING INSPECTORS; FCE
°oPv�
CITY,Or CUPERTINO
............... .:...----- ...
1gJ.7
- To
y.:.Eesti-:..........................,
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•
You are hereby authorized to connect the GAS service "for'
Owner or Tenant - i)��%9%:'G1 /,/i�
....................
,,.
... ...r.. .......
.........
G' •. New Service ,
. . No. of Meters ---`..,....------ -=-- .Reconnect
............ .
Move Service
...
No. of Add. Meters 'Mose Meter
..................................................i/.
.
4- PLUMBING INSPECTOR
110'6/59-500•.