290 (2) LOT NO. -
NO. STREET.
APPLICATION FOR GAS PERMIT
5 CITY OF CUPERTINO
e
Date 2 / AA Permit No. ' /�C��•y j
F1 .
/APR 101959 Fee s /
`b Application is hereby made.to the City o upertino for a permit to install gas pipes,
and/or gas apt a� ed/���COMM
reverse side hereof, and agrees to install said pipes'
and/or applia 'IacAdanfal>`jrt��l� sions of the Plumbing Code of the City-
of Cupertino, and all other laws applicable thereto.
u BLOWER FURNACE
Use of Premises
BETTER CUPERTINO HOMES.
a r t R t�zis
BAN CARLOS SHEET METAL WKB.
rn Owner - a nIn -Q1Inr— RD.AAM GAMLM§
By y Address PP
CONTRACTOR, AGENT
Phone Approved
PLUM ING INSPECTOR '�ti/
nl� z N •o Z "�' gv "�' nd � � C) o Qti wiN� .
ZIP
o n $
.6.55 by
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GAS SERVICE NOTIQE °orvE
BUILDING INSPBC-VO
OR S ,OUTCE i,
CITY OFUP .RCTIN
O
To
You are hereby authorized to conned the GAS service for
Owner or Tenant f:..�............ ... j i ..............
At ._................ _- c..............---..--... ...- ....................................................
New Service .f�
• No. of Meters .. ...... A Reconnect ........
Move Service ........... .........
No. of Add. Meters .............. . Move Meter ........................
I
... .. . . .... .
PL NG INSPECTOR
.,.110 6/59.500