837 GOT NO.�b .
NO. STREET
lctCATLOt FSR, APPLIANCE PERMIT.
CIr F CUPERTINO
AN 5) 1962 W1,
Date IAV 9 9 1969 , 196..... Permit No. 7
CITY OF CUPERTINO Fee S /
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 slid
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises ^
Owner�riLtt�.s-.v, G /�2-mri� Address
I
By D �Cl�! �` ` Address_ _
TO AGENT
H TING & SHE 0. I Approved.
180 E_ SAVE., CA Tftt-CAtlf. I 1 I ,PLUMBING INSP
1 1 1 1 I I t i I C l
d n
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O
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n
p
IRJ
r '� OEPICE
NOTICE .� COP}.
GAS SERVICE NOTICE
BUILDING INSPE R'� OFFICE
CITY OF CUPERTINO
�
.....--... .
I To j
You are hereby author' �to co ct the GAS service for
i.o
Owner
p�orTenant .----... . - . s. �
----------------------------------
New Service ---
No.
.No. of Meters ---�.................. Reconnect
- ----------................ .
.. Move Service _......................
No. of Add. Meters .............. Move Meter ..-------------------------
---------------
........ -
UMBING INSPECTOR
.110 7/61-500 -