2072 1 dAJ-d 0 t�jaAY-1\LOT NO. I
NO. STREET
(CATION FOR GAS PERMIT ,
TY OF CUPERTINO
195_ Permit No.
c�o7 Z
T �� /� p 7 nI/� Fee $
C� 41YplklEionGSI�FrPTInFb the City of Cupertino for a permit to install gas pipes,
and/orgas appliances;as`listed on't5c reverse side hereof, and agrees to install said pipes:
and/or appliances,in eccoidance.with the'provisions of the Plumbing Code of the City
of Cupertino,•and all other laws applicable thereto.
+ Use of Premises Residence . '
Owner DeeP.Cliffe Dev""Co. Address Ave
1 B L. HICKeY bU.J AC. Address _
y/d C;0hV,CON38 I:T(Illi a t , `
i EhNi�JYUAL CAUFn Nti �a Approved
PLUMBING INSPECTO
9C) Z . E
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71 1�I
I' . . . QFFICF
GAS SERVI E' NPTICE COPY
BUILDING INS OMS OFFICE
JIE
CITY OF CUPKRtINO
...................... 7//....................
TO j
You are hereby autho ' e to'co� ect S e ice for
Ow. ...
. ........ -- ---
- ------ --- - -
Owner or 'I =_45
;14474 -- . - .r..:.........
/
:................
At.... ---- -- 1-
New Service ..........................
No. of Meters ....... ............ Reconnect ...................... -------
Move Service ........................
No. of Add. Meters .............. move-meter,--:.......................
0 0
00 0
...... ...........................
PLUMBING INSPECTOR
110 7/61-500