0582LOT NO. a
NO. STREET
�J F APPLIANCE PERMIT
C CUPERTINO
CT 18 1961
Date C -t /" 196-- - Permit No.
CITY,OF CUPERTINO pee$ ) 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 said
appliances in accordance with the provisions of the Plumbing ':ode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premisesy c-e—�
Address
Address_ _
Approved
PLUMBING INSPECTO
A7
iA
GAS SERVICE. NOTICE OIC
CFFOPYE
i
a.
BUILDING INSPECTOR'S OFFICE
CITY OF -CUPERTINO
.......... ..........-...I..... ....... ------ 196.1 -
TO
You are hereby authorized to oone the GAS service (orl,
-OvAiWor Tenant ............................. --- ---- ------------ ....
-- ------------ --
At............... ..........
aw
New, Service - ........... -
No. of Meters ...........
........ Reconnect ..............................
Move Service ........................ .
No. of Add. Meters ...............
ove Meter ............... ...... .
. ...........
... ......... ....
'PLUMBING INSP
110 1160
-500