476 LOT NO.
' - NO. STR00L. C '-
2. 248
�] APPLICATION FOR GAS PERMIT
t4.2 4 8 CITY OF CUPERTINO
Date _ Permit No.
MAY 181959
. Fees
Application is hereby made to the City of Cupertino fora permit,to install gas pipes '
and/or as a pliances listed on the reverse side hereof, and agrees to install said pipes
and/or�jbfliancflFtn ERTMe provisions of the Plumbing'Code of the City
of Cupertino, and all other laws applicable thereto.
aUse of Premises //L i. 7
.Owne Address �3.2 �
By V1. L. i•f 1CK'r.Y`roON s. INC.
[B
Phone Sunnyvale. Calif. Approve
PLUMBING INSPOGTOR
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�'- GASSERVICE ;,.; TICE OFFICE
BUILDING INSPECTO 'S, PI?I ' COP),
CITY OF CUPER
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To - ..
You are hereby authorized to connect the GAS service for
Owner or Tenant . _
.....e........ ... ..
At
01.o/�rJ...: ... .. . -
.. _ .. _ New Service477.:..........
No. of Meters ...... ..........+.. Reconnect .....................:........
.. ' Move-Service5 ..................
No. of Add. Meters................ . Move'Meter
.. -.. ...
PLUMBING INSPECTOR
1]()"('/59-500 - -