1401 LOT NO.
NO. STREET '
I ION FOR GAS PERMIT
SEP 12 TY OF-CUPERTINO
1961
4.
ir�•t,.. VII _' 195- PermitiNo. � �� / �
t:.}—.— �A'?ppt�cahra e.i� s i.Alt�j. � `'�`}'+ rt4�5v-yfsi^`L..'t5>. rr.}'a'ii-.4"y':• >y�" 'M`Z'=
on;Is.[♦ereby_made:fo.tKe_GtyZof;,Cupeitino for,a`permlt,to install>gas pipes,; •
H , and/o,gas appliances.as list-ed`bn the reverse side hereof and agreesttol Ztall.sald plp'c_s `,�i�,
I Ci and%or appliances in accordance_wlth the�provlstonsi:of�the Plumbing Code�of the.Clty—++—'
V of Cupertino,,and.allto
other,laws,appllcabletthererto '- " �r '�-'+t'`+ �yii""s �"�ibr 'i
t
e
,c...x``"
r Use of Premises— A��iOtni[t —
•' Address'•' . . .�f
Address � ��i
t ICONTRACTOR)•AGENP
hone k///'e. Y Approve
PLUMBING INSPECTOR _
n G] 7,
2.
to 7. H
--,.F ,r.--
O — ry -------------------- w
C) > KINM
-IT
R •.
�k z
---- E �
,I bP a4 T ♦ F `w j