658 (2) iv ..
`�tcsyQ / • • yz
LOT NO.
NO. STRKE%�
P ! Prm>
PI.1 ATIO FOR GAS PERMIT
JUL 241 19CITYOF.'CUPERTINO' •
,Date.•.. 2r2,-1951, ,., 193 - Permit No.
i l✓Urc Tuve
Pee 3
Application is hereby made to the City of Cupertino fora permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance'with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
c
Use of Premises
n Owner Address _
By DIVISION Add[es5 •
AWffT,RMcararrco.
17497 Sfevem Creek Rd. Santa'Cara, CRM. Approved
t PIlORe PLUMBING INSPECTOR
Remarks (Check ✓)
Jype)of Appliance I Units Fees II New 1 Replace Relocate
[,-;—Gas Ranges- ;j
Wall Heaters
Gs.Plates .� �� r:� ;;_�. •`
Circulating Heaters
Blower Furnaces I / /.,SJ ��•�
Warming Ovens
"Percolators +I
Griddles
Steam Tables
• Gravity Furnaces'
Suspended Unit II
Floor'Turnace
Miscellaneous -
QJAME,"TYPE)
Appliance Fees
Inspected and Approved J/_ . ..:._i- ---
DATF. "SPECTOR
HOUSE GAS PIPING
Number of OutletsSae of Main
Gas Piping Fees
Tested and Approved ........................I ---..----..----:...-..........................
DATE INSPECTOR
yt
,G' S SERVICE NOTICE OPPICE
COP1'�;
'B L'D G INSPECTOR'S OFFICE
TY OF CUPERTINO : v
lZ19:1—
To
You are hereby at tho 'zed to connect the GAS ervice for
Owner orTenant .... .. . .
At" ...': 03- --- --- ----- . .. .
14
New Service.•......... ...........
2No. of Meters -------- .. - ...... c, Reco t?w..............................
fr,
k M ve.SBrvice ........................
.,
No. of Add. Meters ............_ •• °Move Meter ...................:...... I
I
PLUMBING INSPECTOR
. '
110 6/59-500 `