1989N
All -A T ��iL� P LOT NO.
�NO.
TR To _
APPL ATION FOR GAS PERMIT
!AUG 3 D 1962 0 OF CUPERTINO
1255/ Permit
No. �
,� SO
Fee $
Application is hereby made to the 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.
Use of
Owner/_�T'd
By
TORGP.NT -
Phone
Address r
Approved
PLUMBING INSPECTOR
N
All -A T ��iL� P LOT NO.
�NO.
TR To _
APPL ATION FOR GAS PERMIT
!AUG 3 D 1962 0 OF CUPERTINO
1255/ Permit
No. �
,� SO
Fee $
Application is hereby made to the 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.
Use of
Owner/_�T'd
By
TORGP.NT -
Phone
Address r
Approved
PLUMBING INSPECTOR