1887 (2) LOT NO.___Z✓
NO:- STREET
1 N FOR GAS PERMIT
CI 6F CUPERTINO
�JUL 24 1962
Date 195_ - Per No. Id6
CITY OF CUPERTINOFee s
Application is hereby made to the City of Cupertino fora permit to install gas pipes
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 othe aws applicable thereto.
u .
c
a
•Use of Premises
n Owner Address GC�CP�
By 'L", f!, yl,o�j�.ru.— Address
CONTRACTOR, AGENT I I
Phone R67 9r.TG33 Approved
PLUMBING INSPECTOR
> ° d o
O n t7l
?'
--w
m m
0 O Nn
A A — --_------ ---per
OFFICE
I;,.i ,' .�.... . ._, COPY.
GAS 'SERVIC NOTICE
BUILDING INSPE OR'S OFFICE-.
CITY OF CUPERTI 'OS
............... �/......._........_......., 196"
To '
. a
You are hereby authorize o connect the GAS rvice for
v
Owner or Tenant ... - .. ............. -------- -------------------- .........
N
At
�p. .9_i, -- --
• New Service ----J4-, " .._-..'
No. of Meters .:- -_--- --- Reconnect .:.---------._-- .
.. Move Service --------------........
No. of Add. Meters.:---.-.---- Move Meter ..........----------------
P 6M13ING
..PLUMBING INSPECTOR
110 7/61-500