1625 (2)twn
NO. STREET Z
APPLICATION FOR GAS PERMIT
p OF CUPERTINO
Date 3 1962 , 7195 Permit No. <
O iJtr�l}a�r FRI
Fee $�2
1� /ApP1,ta}T X is ebr�t tad of Cupertino for a permit. to install gas pipes
"p and or a11ln� al n astN t d ad
side hereof, and agrees to Install said pipes
and/or appliances in accordance with the provisions of the PlumbingCodeof the City
of Cupertino, and all other laws applicable thereto. \
a Use of Premises APART AENT ) e4-0 g
'Owner •, V-!P.,RAPAI.0IN, IN Address
a t_
C ACTOEJAGP.NT I'� ;i \
Phol€�N ell, California ' -App
hone j ,' I PLUMBING INSPECT
C)l
z
N
w .9
X00
a.
b N
.d
a
v
E
t_,
E
t_,
iV
! �.
' �( '
� �.F,
e'�
p�!-
� ♦
Sri
,{y.
♦
t
�n
TY/�"�0.1�j
�I GAS SERVICE f10 E
BUILDING ltZS.PEC MR'S FFICE
CI l 401, C�UPERTI
You are hereby autho ' d to connect the AS service for
t
OwnerorTenan-�_ _ ----------------------- i �_____
t. .,.
:.�. .. �
' ! No. of Meters ........ ......
hnit ...._:. "i'lr .:' •w1,. _t,AJJ
OFFICE
COPY
196. L
L . ,^Ito 1/60-500
New Service'............
^'Reconnect,.' '-- ____ '
-' move Service '
. _ \
PLUMBING INSPECT R
i
'GAS SERVICEFNOCE OFFICE
COPY
�. BUILDING ll;SPECTOR'S JOFFICE,
C[TYOF CUPERTINO 96......
O F to
0
Ow. You are heereby au�thor�ize o wnnect,the G S se'vice for
�•
ner or .Tenant ...... ...................... ..?_..... � .._ .. �........�.�t�.Q-,' ..
el O ��
.r - � - • � . .. - New Service ........ _
r .....'
.:..7 :. ice•- .... Y. .,,:
ft ',No. of Meters .._......... Reconnect .............
.._.--------.---
y. ..
;, c, J•"7 .. .. . ,. "* ' Move Service----------------
No. of Add. Meters
�M -
_ _. .. oye;Meter;.{'�...-.:r.i-:::....•X,.
............. :...... ..-1�-.... . �..
PLUMBING IN PE OR
110 1/60-500 -