1450 (2) LOT NO. -
NO.y STREET
;an FOR GAS PERMIT w
ra,f SEP 2 6 19611 CUPERTINO
Date SEP 18 1961 —' 195_ Permit No.
'CITY OF .CUPERTINO Pee$ �.
Application is hereby made.to the City of Cupertino fora-permit to install gas pipes .-F.
.,and/or gas appliances as listed on the reverse side hereof, and agrees to install said:pi pes(;"^'.,�,'
r and/or appliances in accordance with the provisions of the Plumbing Code of the.City
�* of Cupertino and all other laws applicable thereto ,,y,'' • . "•
,�Y Q'a��{i R. 1.. v�'q �,•. ;? �A1`wdvs rs p" rfwr
W781"Use of Premises—"'I'
ly rl�_' 1 - F" N N,r Ti? a� �Y. - q• 3S,LY!
! I wner��f'�.�� N�/�,c ry-""`"Y`Add'sr �_• _ 1 '� '
" yW/LIf C�— J alU` Adder rens ^ I Qfc I4S J
•• terry „ �� CONTRACTOR, AGE.N _
w Phone e L / O C'G Approved +•
j PLUMBING 1 SPECTOR i
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q GAS SERVICE!: p/t�OT COPY
I 'D. ,~' ."�. ,COPY
BUILDING .INSPECTORS'. :ICE +
CITY OF;CPBRTIN
-. `- =1. ; �P...... - - ......, 1961.:.
TO'.
You are hereby authorized to conned the GAS service for
. .. .
Owner or.Tenant� G. .!��C/�f?��= ...:.. - .... ... ..... ............... .,
'M'14ci Service .
v .
No. of Meters'.. f r-•' -Reconnect .. ..:_------_-.......
,Move Service --- ,
No.of Add. Meters ti ,``Move Meter ....`...... .'.,t ;'
3•� '1 .3� r.. -..•.. PLUMBING,INSPECTOR t,
Lh/.tto i/60.500