765�O ^' �� I/ LC/L/✓KiG(� LOT NO.
NO. STREET _.
R APPLIANCE PERMIT
OF CUPERTINO
FtPR 13 1962 %%//
Date t96...: Permit No. .176(5
OO
CITY OF CUPERTINO Fee
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
y of Cupertino, and all other laws applicable thereto.
2
Use of Premises_ '
�tOTF9 SFIEET9ET�1 C
b, Owt+,x� ,-223Addtef4{LAt1Q_AVFNUE
By HAYAddWpL
CONTRACTOR, AGENT
Phnne.�_,�. �2 .?, c ! Approved_ _ _ _ . _ _ _.—
PLUMBING INSPECTOR
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OFFICE
- . COPY
GAS SEj2VICF NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-------------- ---- `--a-�----.....-- 96"�.. -
You are hereby author d to co e t th AS se is , 0 \
Owner or Trant----- -------- - " --.." _
At .:--- ..- - ...... - i- /
.,New Service .. .. ------.......
No. of Meters --------
------------ --- - - Reconnect
'Move Service'._ _
No. of Add. Meters --- ------ --- ° M r
- ....-
.. ----------- -- -- --- --------- - -- ---.
-PLUMBING INSPECT R
'110 7/61-500 - _ -