477 cr - LOT NO.� �_
'NO. ° STRHIT
22 48 APPLICATION FOR GAS PERMIT�e
CITY-OF CUPERTINO "
(�\J D
` l ta) , 195_ Permit No. - .
IMAY 18 9959 o
Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes.
aUT&(kpli ' PE sT4Nthe reverse side hereof, and agrees to install sgid pipes
and/or appliances in accordance with the provisions of.the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
• Use of Pre/mises_CL(_O .arc G(l
Ownersis/l- 1:;, Address/q.7/�
By. L. rticKcaovNTR"A��"ISI Address
P. O aVXA5'ORRjAGP.NT f /� C
Phone�uan��e `.... / Approve t ® t�.�✓
PLUMBING INSPECTOR
Ir•1 I t 1 1 1 1 i ; l i � � � Fi � ; � II Ii ' a
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GAS SERVICE NOlI `q11 COPY
BUILDING INSPECTOR S}`OF iCG
k>,
CITY OFCUPLRTIiL►'V.Otl";:�;� '
T � .
19
To
- '
Youare hereby authorized to connect the GAS service for
Owner or Tenant .... � .- -
„ .. . '........ ........
At ..aiPy..�J....... .... ..
New
No.•of Meters-----
/....:.`'.----- Reconnect
ect .../.c '. a,.......-
. Move Service ....----...............�
No. of Add. Meters ---.".-...... •• y Move Meter ..........................
_.:.:i .......................
n; PLUMBING. INSPECTOR
7 70 6/59500 .