302 r
LOT IYO. a.V
—FIGO STEEET „
2 j 5 S . APPLIC TION FOR GAS PERMIT
® AM
CUPERTINO
/ 666rrr--- A!
Date 9' i1. Permit No:,
Fee $
.A. ���� Is' O
•�," ppli ebyfmof 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,
•1 •-of,Cupertino; and all other laws applicable thereto.
BLOWER FURNACE -
� �,
Use of Premises METTER CUPER INO HOME
y. IDLEWILD TR , 215 ,
!PAN-'CARLOS SHEET Nj-TAL WK6, .
V) Owner Address
,779 O D.CO T "O.- SAN CARLO@
By `• Address
CONTRACTOR) AGP.N-i-
Phone - Approve��
{
PLUMBING INSPECTOR
n
'O. P
— —__ — — ---_ E—w
z i ————— —— ———
GAS SERVICE NOTICE' OFFICE
COPY
" BUILDING INSPECTORS OFFICE -
O CITY OF CUPERTINO
. .
You are hereby authorized to connect the GAS service for
Owner or Tenant !. .................i.� /�"'7�j!`�'�.../
r.
At Oy
' No. Meters, / New Service
. ' . ........ .......... .- Reconnect .
: .. Move Service ...a.:
No."of Add. Meters ....'......... Move Meter .........................
.*-PLUMBING INSPECTOR
110 6/59-500