518 M O S 1 I PFppFRTR�T' `1 AIV�i . LOT NO. 9
NO. 5
A PPLIANCE PERMIT
JUL 2 UPERTINO .
Date 7-1 R—FT 196..... . Permit No.
CITY OF CUPERTINO Fee $ 1 - 50
',,,,Application is hereby made to the City of Cupertino for a permit to install
.,.,a,•-0<Oqgas"appliances as listed on the reverse side hereof, and agrees to install said
-appliances in accordance with the provisions of the Plumbing rode of the City
y of Cupertino, and all other laws applicable thereto.
2
u
, Use of Premises Y`PB1dariCe
I: 8
1etPi T. RT. Address e
Pf®�$ ' >
1
130 S. %i'I'
Address
OHrRA R, A
��rM
�Poell, California Approved
IV PLUMBING IN5PBCfOR
wt
a n ^ n
'o ^
_
T •Y.. �'� L.•�1 HlH..
2
R
v b
^
GAS° SERVICE '.NOTICE OHICE
COPY
BUILDING„INSPECTOR'S OFFICE
CITY OF CUPERTINO,
To
You are hereby autho 'zed to connect the GAS service for
Owner or Tenant, �.��721. . . .
V ................
.
..New Service :..y
No. of Meters ----�./.....:J: .. Reconnect ..
Move Service ...
No. of Add. Meters ...:°...:. Move Meter .........................
.............." -----
°Y+ PLUMBING INSPECTOR,
110 1/60-500 �•,,~�'a ay-aa +�- �.,�t °*