926 (2)"r'd LOT NO.
Ar
s.
AkPPL
ICATIOI)Fq ,APPLIANCE PERMIT
AUG '0 0 MNGM&OF CUPERTINO
DateCITYOF CUPERTIPZI" " Permit
f7d'install
Hereby ma&t t�ht!dty of CupertiGoJona-permi
Applicati6n is;
gas appliances as Ilsted on the reverse sl ereqf� arjdQ, ''tp",riinstall said
appliances in accp�fd'�-` t Isl 5 of the Ltn�6ij�r.bde of the City
of' (-u
,pertmO, le ther
Usef P
o r es
in w ne
z lift
By Add
Phoneji=
T . Approved
PLUMBING INSPECTOR
aJ -- ------ --�
N
y— — — _ — _ _ — — �
�. i. - r�y
T�., I Y,' .� �' ..
s , 'x° E w
w ���.:�: d. .e
c_ .. K g
LKS-_;+
S �� lel
A �'. YEA n..r� �t I.1 � ,+� �' ��• �. �.:�R..1
���
_;
r
ro
��.�
'-I
aJ -- ------ --�
N
y— — — _ — _ _ — — �
�. i. - r�y
T�., I Y,' .� �' ..
s , 'x° E w
w ���.:�: d. .e
c_ .. K g
LKS-_;+
S �� lel
A �'. YEA n..r� �t I.1 � ,+� �' ��• �. �.:�R..1
���
ro
��.�
'-I
�'R
'
w
°'
��0
0
�
m
�
•..
b
r
a��
aJ -- ------ --�
N
y— — — _ — _ _ — — �
�. i. - r�y
T�., I Y,' .� �' ..
s , 'x° E w
w ���.:�: d. .e
c_ .. K g
LKS-_;+
S �� lel
A �'. YEA n..r� �t I.1 � ,+� �' ��• �. �.:�R..1
to
You are
Owner or Te
At ---------L.
GAS,S5 VICUNOTICE.
'BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-------------
No.
...----
No. of Meters....... _........_. � � .�
No. of Add : Meters 4
PL
110 7/61-500 •.
I
OFFICE
COPY
.. 196.7�-
ce
r,=-. ............... ----