Loading...
2198 LOT NO. NO. 37aEET ?..,'MAR APP KATION FOR GAS PERMIT W i CITY $F CUPFRTINO Y LL 5 1863 Le p 3 U Date 196_ Permit No. ,9 g _U Y n �+ �p�•,�n Fee•$ �So ' o +fhHDE h�lF/Efld City of Cupertino fora permit to install gas pipes o` and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes 'z N and/or appliances in accordance with the provisions of the Plumbing Code of the City i W of Cupertino, and all other laws applicable thereto. W • f Use of i _ 00 W3 Owner A dress_1_a_za o Al. &A6601P,71-4' 0J z By Address I o 3P—'c Phon ®9rz aState Licen G 1� Approved i-0 �7 Remarks (Check ✓) Type of Appliance Units Fees New Replace Relocate Gas Ranges Wall. Heaters Gas Plates Circulating Heaters Blower urnaces Gas Fired Boilers Warming Ovens Percolators Gri es Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous .(NAME TYPE) i HOUSE GAS PIPING Number of Outlets p Sip of&ain Gas Piping Fees Tested and Approved ...r..1. �. .................. AT SP TO0. fA 005.65/l all 'f+Z '£Z 'ZZ TZ 'OZ '6T 'at LT '9T 'ST Tl '£I ZT _r_T T 'OI '6 . B 'L .9 'S '6 - 'Z 'T 03AOaddY 03AOaddY 03AONddY 'ON ONr03.3dSN1 ONtl 03103dSN1 ONtl 031S31 '.Ldtl 3�tlNllOd. 3�NYIlddY ONldld Stl0 .................................... .Oji altmad 990 pig uoi4sedsul sog asnoH-.141nw