474 (2) LOT NO.
' NO. STRRRT 1 ,•
2248 APPLICATION FOR GAS PERMIT
CITY OF CUPERTINO'
I
Date t� ,i _ Permit No.�
rMAY '181959 Fees / .
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/ p pp}yapces the reverse side hereof, and agrees t install said pipe
1 and o lan In CoAQy, he rovisions of the Plumbin Code of the Cit
gg of Cupertino, and all other laws applicable thereto.
u .
Use of Premises 6�0�[�( .: • .
tri.:�5�; .
Owner [� Addressl �
gy W. L, !tlq EY'SONS, 'ING+ Addre's's+"
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Phone Sunnri0lo. CeIIL , j Approve.
i r r 11 I i,1,,,{PLUMBING INSPECTOR f.
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GAS .SERVICE NOt�'FFTCE
E : OFFICECOPv.
BUILDING INSPECTOR'S'.CITY OF CU ERTIN1 '
.................................,_...................._........, 19........
To
You are hereby au orized to connect the
G!�AASSS service for -
Owner or Tenant . .:5<..-:--)-�Lr..7. .....................................
.............
At 4- /te
--...... ..
Service
-No..of Meters .. .......- --' Reconnect ,
�!� .
Move.Service
No. of"Add. Meters .............. Move'Meter .....
.....
r �� e , PLUMBING INSPECTOR