596 64 7 e I PEPPFP.TP.EE LANE Lor NO. or
NO. TRa
AM `us
� R APPLIANCE PERMIT
OF CUPERTINO "t
f Date .18 ,E�. 9C ... Permit No.-
1Z .
e CITY, Fee $- i. 50
d Application is hereby„made;to the City of Cupertino for a permit to install
gas appliances as listed,6n the'reverse side hereof, and agrees to install said
-d appliances in accord's&-With' the provisions of the Plumbing rode of the City
of Cupertino, and all”fr,...lai4"s applicable thereto.
Use of Premises Ce
f
n Ownef_ cq0t010NWEATiTF BLDR.._ Address CAMPBELL _
�� SHEET L,IE '
�3Q t mcrcoriran'rroaY EWAddress
Pilotfe��3�s5eBB. �_fiErr�ia APProv
PLUMBING INSPB OR
.0
ol ug -rj B n
7Q
---- - - ---- - - - -
ITI
IR
GAS SERVI4N TI � E OFFICE
� :,`:.: .COPY
BUILDING INSPECT,OR.S'M1 O1IFICE
CITY OF CUPLRT TO �t
tt
You are hereby'authoriz d to connect the GAS-service�for� _
Owner or Tenant . .-. . . . - /•, `
At . Cl. 76... ./` s -.
New-Service ✓.----------.'..----
No. of Meters .._ .._..-...._.. Reconnect------------------------------- 'I
Move Service
No.'of Add Meters ', : Move/Meter r .: .
' LUMBING"INSPECTOR
110 1/60-500