305 (2) � LOT NO.
NO.• ' STRRET. .
2 1 5 5 . AN FOR•GAS PERMIT
UPERTINO
y� Date ® /rt-1w-1T�J 1 Permit No.
QO cLtTi pJr �+��p Fee.$
Appli s h Fby OM4PE R9 fWf Cupertino for a-permit to install gas pipes;
O and/or gas appliances as listed on the reverse side hereof, and agrees to install. said pipes '
and/or appliances In accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto. -
a ` +'` BLOWER FURNACE
V
Use of Premises g-ETTE12 Std R`-S'T!^'^ '-'nnAFa
v
• IDLEWILD TR if71155�
t
ZX .Owner "'USAN CARLOS SHE ETAddres±AL WKS. _
",779 OLD CDUN'"" RD.- SAN CARLOS
By Address_
• CONTRACTOR, AGP.NT' .y
Phone 11 . Approved
PL NG INSPECTOR
' �IJG) Z
�' re —
fA ,� \ .•„� tom, r f�
i
GAS SERVICE .NOTICE` `� OFFICE
COPY
BUILDING INSPECTOR`S OFFICE
CITY OF.CUPERTINO
c..
Tn
9 � 1
You are hereby authorized to
•,connectttthe GAS service for
Owner or Tenant 619, �tyo•°..�1( ............
At �77
.. .
„New Service .
No. of Meters'_ t� Reconnect:...n:
Move Service .:..............
No. of Add. Meters ............." ,,. i Move Meter ....i............_ ......
6
UMBING LINSPECTOR
Ho 6/59.500