Loading...
1106 (2) 1 (o Irl C CL21 l l LOT NO. /L ® A�PPLIfLATION FOR GAS PERMIT FISEP :30196 OF CUPERTINO IDat n' 195_ Permit No. 1166 lid �IY� Fee $ Application is hereby made to the City of Cupertino for a 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 ap licable thereto. c Use of Premises 65 Owner Address B�oe Amaral P! Imhir Address _ CONTRACTOR, P.1;1 � Z_" hone Approved PLUMBING INSPECTOR qv T y ° P � w � p : GAS SERVICE 'NTI E' OFFICE Y BUILDING INSPECTOR'S ;OFFICE h CITY OF CUPIiRTINO f � ...._........_,..?... ---._�_... 196.. . To You are hereby wthorized to connect the GA service for Owner or Tenant ...(,...G.- 4 ._.. ..1 '.r�.�� ���i.�-^.v-C./ --.-..-..- ----------------- New Service ------ .......... No. of Meters ------ ...... Reconnect Move Service .......----------------- No. of Add. Meters .............. Move Meter ....................-..... ................-- ----- LUMBING INSPECTOR 110 1/60-500