835 LOT NO. �r'
NO. Tab
D PL A 'jQR APPLIANCE PERMIT
�J UN 1962 , OF CUPERTINO l/X�,
Dat
eMftftK ll`IV19G..... Permit No. V�/
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 rZde of the City
of Cupertino, and all other laws applicable thereto.
.Use of Prremises
u - Owner Address_
By_ DIASION4, -I 1 } -, Address --
HEATING & SHEEPW*WC@@;AGBM' 1
180 E.P.htDMtl'OAKSAVE. CAMPOELL CALIF I i {I Approved
•I i 1 1 I ! 1 I i PLUM BIND INSP OR
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G . SERVICE. OTICE
BUILIANG v INSPECT 'S OFFICE -
` CY.rY OF CUPERTINO
To .................lD//�._........_...... I9�.�- '
You are hereby auth ' /09,co nec G service for .'.
Owner or Tenant .... �< % t _. .. _:......_...
At .... l
_. .--.----- /S.w.-.--- -/l.�.nC�L- �'--,_............
New Service -..--..;x..._...--._ .
No. of Meters .-. -.----...----- Reconnect ---------
. Move Service .__..................
No. of-Add. Meters -------------- - Move Meter .......:..... ..........
r. '
LUMBING INSPECTOR. ,
-1 t0 7/61-500 - - '