111x.0.6 !C I �✓�W�(, w/ . LOT NO.�� `
T� No. .STREET
L APPLIANCE PERMIT
CUPERTINO
rN� R 2 5 1960' //J
Date MA 2 2 1960 196..... Permit No. `.
CITY OF CUPERTINO Pee s /3°
Application is hereby made to the City of Cupertino for a permit to install
gas 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
of. Cupertino, and all other laws applicable thereto.
Use of Premises
" Owner&✓!r'twAddress
13y DIVI 10 Add r s
NU
P0 E.'SUNA.0A
honey 'ApprovidC/�(�6.��iab� tirwdr_I
PLVMBING INSPECTOR �
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T
GAS SERVICE NOTICE ecorl"KE:
NIAi�1 � BUILDING INSPECTOR'{S •OFFICE
CITY OF CUPERTINOO'
To
You are hereby a�uthoor ed to connect the GAS serpie for '
Owner or Tenant .....4�:<c�.! .......... l
.................' -----...--- ...-------
- -......................................-------------.._:..
New Service
,No. of Meters ----—'............. Reconnect ..............................
Move Service
No. of Add. Meters .............. Move Meter •...........'.............
"PLUMBINTOR:......:......:... _,✓,_,.
IN
.iin 6/59-5n0,.,;r.
CERTIFICATE OF COMPLETION '
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO ,
Date .......`. ........... :............ 19.f-7.0.... Building Permit No.. ��:'%
The Building Located at :! /•i%C(_---T:.'.._:
.................... .
Owned by...... 1 C �iC%Lc✓ aC✓(� `� s G
L(C,ompletedY'
Has Been (Altered) For Use As:'--- `-- /...rG.'.....:...................................