1579 I�� Cl I •1Jll�.� �t�Q•�P GOT NO.--q
r
NO. STREET
APPLICATION, FOR GAS PERMIT
�--'CITY OF CUPERTINO
Date „ 95_-,' Permit No.
Fee'3 �-s
4i; ZA'pRlication is,hereby made to the City of Cupertino.for.a permit to instalh& pipes''
and/or'gas,ap�liances as listed on the reversesido hereof, and ag4cs to•iBoA said pipes
and/or applianc6--in accordance with the p41 visio . f•the Plumbing Code'of the City
Of Cupertino and all othei laws ap'I ble-thereto
Useo ieme x; r
I , ti... . ;
111 J O n ---Address _
B j Address _ t
'r CO ACTOR, GENT -
Phone / -�� •� Approve
�( PL NEWG INSPE T
.� � ��G1T� Onl� G7Wn � EI�
-- ------------
_ Z ---- -- - _-----------
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1 r�'•� , Rwl
Ott GAS . SERVICF"' CE' OFFICE
4� COPY' ;
BUILDING iNSPEC�I O ,� CIF TILE c
` TY OF R
CI
#' ....... . . ... ..............................
iy
3: To
You are hereby authorized to connect the.GAS service for.
* Owner or TenantLR..�.�il ... . .............._..._ ......
... ..
........... :_.....................
New Service Lf
i
No:of Met
ers'...... .........:... : . Reconnect ..................... ......
Move Service .........:...........I '
No. of Add. Meters ......:....... Move Meter ...................:......•
UMBING..INSPECTOR,
.1410'"1'/60-500