1699 (2)&,
QL
APPLICA I N FOR GAS PERMIT
Ft AY 11 19P OF CUPERTINO
Date
APR 2 6 1962
GF I},Aj� Permit No.
CITY ,
I�VVII o
Fee $
Application is hereby made to the City of Cupertino for a permit
toinstallgas 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.
a Use of
y
v 'Owner
%-.
I n
-�e 0