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464 (2) LOT NO. i NO. STREET 2 APPLICATION FOR GAS PERMIT CITY OF CUPERTINO Date Permit No._T MAY 7 1959 Fee a_ /, 3d r Application is hereby made to the City of Cupertino fora permit to install gas pipes and/or pgc 111= rs a+iff p�tpRf erse side hereof, and agrees to install said pipes and/or nc�JCn a a�c�l� I a provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. . v c oma/ . Use of Premises��/J/-Gli In Owne ' .4�Address B Address .. nFfb(rJSyeM1C. . Phoae P. 0• Box 576 Approve ( a. . 16 -Callf. PLUMBING INSPECTOR I Remarks (Check J) Type of Appliance I Units Fees 11—New, I Replace I Relocate Gas Ranges Wall Heaters Gas Plates Circulating Heaters Blower Furnaces Gu Fired Boilers I I� Warming Ovens I �� Percolators I Q Griddles I. I • II I Steam Tables Gravity Furnaces Suspended Unit I1I Floor Furnace I I •�I —�T� Miscellaneous NAME TYPE) I I II I• -- I pp lance Fees Inspected and Approved ......:_...-'--: _............... ........_.......:...... DATE .INSPECTOR k HOUSE GAS PIPING Number of Outlets I 7i _I-Size of M 'n Gas Piping Fees I �I - ::I : - . Tested and Approved .. .... .(...`,:......L.......... ... . .......................... DATE I SPECTOR GAS SERVICE NOTICE r°coriE BUILDING INSPECTOR'S OFFICE t ri �CITYOPCUPERTINO `Y10:2 59 . ..... . {19 . on are hereby�authoriaed'to connectthe�6AS`3ervicefor }- {. ;!'..Owner or Tenant --- ....Better .CupOID . 'HB�6 w . .. . ..- O�kpill©:.: -... .Lot 106 At — .. New'Service „ i ;l• - ;C - -' - No. of Meters .. .... . - „ ' Reconnect Move Service No: of Add.,Meters : r':.' Move Mefer t ' ... PLUMBING INSPECTOR. . s..