836 (2) . Z()l 6 I /�LLL�. •�.�iJL-t_ .C,w?.+-� Lor No.
NO. L,T,
4 'IL Ci4�1' F'OR APPLIANCE PERMIT
!' !JUN 5 '1962CI� t F CUPERTINO
Date � •nnu ..... Permit No. De710
CiI1x�NO Feet 1a
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing bode of the City
4 of Cupertino, and all other laws applicable thereto.
d
:7 Use of Premises
Owner � ��Crti,n c al. Address
By_ DIVISION } Address4PLUM:BING
HEATING,& SHEE9°ML' 4YTQ.AGENr
180E.P9WWQAKSAVE CAMPBELL CALIF 1 / Approved
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1 OFFICE
.-COPY
!�h GAS SERVI; E 'NOTICE
BUILDING INSP CTOR'S OFFICE
CITY OF CUPERTINO ''t•..
-- --f- -C//^ .._.....:......... 196. .
TO
You are hereby aut 1 d to co nect the GA§service for
Owner or Tenant .
Atli, ...--...� .............. .............
New Service ...
No. of Meters ---- ------------ • Reconnect
jMove Service_ ........:...........:...
No. of Add. Meters .............. .Move Meter
PLUMBING INSPECTOR
110 7/61-500