283 (2) �O�ac� • LOT NO.'
NO:- STREET
21'S 5 APPLICATION FOR GAS PERMIT.
CITY OF CUPERTINO'
O
Date t9 � Permit No.
1j,(APR 101959 L' : Fee $
C>0 Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or li]]pQ��s ��''�dC"�M�R�y�verse side hereof, and agrees to install said pipes
Q and/or i ;ic'D6nn RCUERBMUE provisions of the Plumbing Code of theCity
N, of Cupertino, and all other laws applicable thereto.
°u r _ BLOWER FURNACE
Use of Premises FIETTEa r; PERTINO HOMFa
uq IDLEWILD TR275 . . ' < r
r7 ��-Owner - SAN CARLOS SHEET.' WhYCSS'- :.WVl(d'-"'
,779OLD COUNTYMO.- HAN 0AN6120 -,i.,;. ,-
Ci.. }BY ... . - i- '�-Address td'.'
t "2` CONTRACTOR, AGENT I I.
"'Phone 1 Approvedti --
t PLUMItING INSPECTOR
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GAS SERVICE NOT CI E / OFFICE
"�' ,BUILDING INSPECTOR'S.OFFICE •'" COP] i
t:
IJ 'CITY OF CUPERTINO :j }=r •
_............:..:.
To
You are hereby auth-rized to connect t
'GAS service for .. -
G
Owner or Tenint �� . .. . .. ���� /
_ o LQ.
........
New Service f
No.
of Meters, /. �1�. - Reconriect .
Move Service ....... f ,
No. of Add. Meters .....
,.:Move Meter
.-.... � .....
/PL/UMBING -INSPECTOR
llo 6/59-5 on V