1315 (2) p U
z2 7f-1/ Ai?op"p TAMC' L4
1NG LOT NO.
NO. STREET
J&-ac ON FOR GAS PERMIT
OF CUPERTINO'
APR 17 1961.
Date ,,195-_ -Permit No.
_
CITY"�OF' 'CUPERTI --- Fee'S C? ,
\t Application:ia hereby made�t0 the pity of Cupertino for z ferrniCttoo• ri gas pipes
and/o, kas appliances as listed on the reverse'side he_Ir"eb�ofla agrreTes fo install said pipes 1.
I �and/.or,apphances in'accordance with theprovlslons'of�the.Plumbidg Code of the City. S
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�4{o��u�lino t ar*llaws:apphcable-thereto �� .,,.
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inOwner LO/HMolvwu+'a:fi✓"�B�'CRS^ Address
- y.K.�ri �✓ ..0. .r- - -
°" " By PUBO' f OLJ�Atpiiyh: Address
,) CONTRACTOR,'AGENT .
Phone ApproveH r
PLUMBING INSPECTOR
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OFFICE
w COPY
GAS..SERVICE.' NOTICE-_.
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To ;.
You are hereby auto zed to connect the GAS service'
V
Owner or Tenant .. . --- ..
p 2
4
New Servlce?��
No. of Meters...: . :�. . :;$;:�
`•t;. ......... ...._-- Reconnect �� -
Move Service
;. No. of Add. Meters -------------- vv Meter +:.;
7 ` .
PLUMBING INSPL
1 Q_V61-500