299 V LOT NO.'
NO. STREET '1
2155 APPLICATION FOR. GAS PERMIT
p �OF CUPERTINO
DateT 1p'1 ,5�1 Permit No.
N3 LZ I AI'K 1/U 1959 IU
N Fee $
��tipi �$ hFtgElYy �t�trF�City of Cupertino for a permit to install gas pipes
and/ gas ap�(I nce reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City .
of Cupertino, and all other laws applicable thereto. _
.SLOWER FURNACE
Use of Premises SETTER_ CUPERTINO HOMES
IOLEW ILD TR it l. Ib
- �=- . --' SAN CARLOS SHEET Ni E'i'AL WKS. _
J5 -Owner • _ F.D.Address -Ape nG
- / ULV uuui �
By Address_
't CONTRACTOR, AGENT is
Phone s Approved
PLUALNG INSPECTOR ��
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GAS SERVICE NOTICE ;I
COPY
BUILDING INSPECTO,h'S OFFICE
CITY OP ..C ERTINO
To
You are hereby authorized to connect the GAS,service for
Owner or,Tenant :/ �J` -.....-_.. -
At
New Service '
No. of
.Meters ..... /. ....:: ` Reconnect' ....... ...............
Move Service
Ij
No. of Add. Meters ......: Move Meter.. . ..... ...........
y
PLUMBING INSPECTOR
110 6/59s00