1404
e ' a
'A..,
Ei
AteD
0r AF
gas appl
applial
of Cul i
Use of I
vp /
7 Owned
IN FOR APPLIANCE PERMIT
r CITY OF CUPERTINO '
_ 196.0 Permit No. .
F,ee%S
tiby,ma Sle to the City of Cupertino.for.a permtt;to.install'
,.on the reverse side hereof, and agreei to install said
fcelowith the provisions of the Plumbing rode oftthe City;.''
oihei laws applicable thereto. -:, " •. -
r,
Address ^ z—(
Addres4�� 6u�/
Approved7 wl2nrUrTi
-PG I[a1NG INSPBCTOA
GAS SER?r' ;TILE �, OFrf r
c �.- OFTTC&
, BUILDINGONS 0R S, OFFICE Fes:::
ZIT
Yi C RTINO
�':: � s /of ,,,��^•''�
:Tokir - '
You gyre hereby authorized to connect the•GAS service for
._Owner or Tenant ,��t-� 2 - C :,
At
�� '
New.. .. Service .............:':`
.
No. of Meters..__................. Reconnect .... '.
Move Service . ............--- a t
No. of Add. Meters ...... Move Meter•.::....
.i
LUMBING INSPECTOR'
110 6/59-500