301 / z/1 LOT NO. /' -
NO. STREET
2 15? L TIOPI FOR GAS PERMIT
T,,,, F CUPERTINO
Date 95 -� Permit No.- �3e9/
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C �� n� [pr Fee $—,�'--�-
ApplicatioA is h rdafgeltd City Of Cupertino for a permit to install gas pipes ,
and/or gas appliances as listed on the 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.
a
SLOWER, FURNACE
v
Use of Premises gFsTTER t^}IPFRTIN!❑. HOMES
IDLEWILD TR
in Owner 'SAN CARLO5 SHEETAVETAUWKS.
ress
•' "� - 779 OLD COUNT" RD.- 5AN„
By' Address
'CONTRACTOR, AGENT •� '�n
Phone Approved
- ���q. ,,} J _ "•'� PLUMB NG INSPECTOR
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171
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GAS SERVICE I tICEOFFICE
t
COPY
BUILD[ INSPECT NG I NS C R'S OFFICE
CITY OF CUPE TINO
To
_.... 9:... ..y.... 1�
You arc hereby authorized to connect the GAS service for
Owner or Tc nlnt
At
�l
New Service : ........
No. of Meters"::..:.!"""..... . . Reconnect ............................... :
Move Service.........'...............,
No. of Add. Meters :....... .. Move Meter
PLUMBING"INSPECTOR,
1106/59.500 ,