963 (2) ,r/;2$"� I �/f- .7p L L.¢ 2/.. LOT No.
NO. Tract #3150
W® , nL OR APPLIANCE PERMIT
/ou 1 1962 OF CUPERTINO
Date 9/24/62 196..... Permit No.
CITY OF CUPERTINOFees ( -7
Application is hereby made to the City of Cppettino,for a,permit to install
GO gas,appliances as listed on the reverse side hereof;:and;a'giees to install said
H appliances%id=accordance with the provisions of,,'fhe Plumbing rode of the City
r'l of-(;pert_igo;and all other laws applicable.&h eto:"
u
Use of Premises Res.
:.'AddressR—D_BCx_.6%4
gy Address%evtino
�p CONTRACTOR, AGENT
Pirrone Oc-Y_ �-�' aS Appioved
malNG INSPECTOR
Remarks (Check J)
i'ype of Appliance I Units Fees iIlCNew .,TReplace Relocate
Gas Rang
Wr ll Heaters
Gas Plates x.��� ':` 't.��"r"•.f
Circulating Heaters
Blower Furnaces
Warming Ovens
Percolators
Griddles
Steam TaDle—sj I
Gravity Furnaces I IC:=i
Suspended UrW-1 I ii
Floor Furnace
Miscellaneousw. .;"AF -
(NAME TYPE I IL,tI •1r�•rrl
1F®® •a' —
_ PPlance Fees �"'��.'r��: � ![+; `,'+.;`�,•
...
Inspected and Approved
DATE. . -�
� �INSPECTOR
' - OFFICE
COPY
` GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIINO
----.-..-------r" j.................-. 196.
To
You are hereby auth ktoconnect the GAS e
Owner or Te -.-- .--b. - ---- -- -'---..- -._.__-_..-.r....-
At
New Service ..........................
No.of Meters -- ----- --------------- Reconnect ...
o". •x ru :.It{otW%Service ---------
41 , 1_ , of•A0hMeters ------ ---- - ' Move'Meter . :.`.�..
LUMBING INSPECTOR-
110 7/61-500