1896 (2) [a Q PTA i LOT NO. •
NO. STREET
ION FOR GAS PERMIT
® CI F CUPERTINO
Date - � YL(f��+ 196295_ Permit No.
;, 'Y Fee S-lrcr a.
rn
CIT OF :C pERT��f(� .
Applicatioml5,here�y:� -Re,fiialTE•City of Cupertino for a permit to install gas pipes
and/or'gastappliapces.as3liste"d 6`',the reverse side hereof, and agrees to install said pipes
b` and/oyappliances;in'accofdancef with the provisions of the Plumbing Code of the City
of Cu*tin'o,'and'alh;otfieiaaws applicable thereto.
o r . . V
Use of PremisesL``�_"��_s+.((�1J
m
v, Owner %C.444-A.9- Address
' t By "' Address 6
'.� �.,:"CONTE','TPR�rAGEN I'
Phone z4"I 'T 77 Approved
PLUMBING INSPECT®R
C) p7..• N04
ot
b ot
. Y ,a ids ;r� .ia, ' ,_ ^c:• ,
rt �^ .� •:w •M ' �^.�t kyr,
m _
p w r------- Q$p
' ._` 1 :,. . .•OFFICE
COPY
GAS', CE NOTICE
BUILDING INS OR'S OFFICE
CITY OP, .CUPERTINO
.............`...... �. .................. 196..
'To
You are hereby authorto connect the GAS se 'cc for
gr
Owner or Tenant ...... l!ofeo...-` . ........ CPQ ,..........
At
4 No. of Meters -Z.......... New Service ....4.r..............
i
_�... � '. 'Reconnect .------.......[.:............
1 " Move Service .". ....
No. of.•Add:-Meteis . ..4. ', Move Meter �`z
--�-yv'.. vim,
" •� .� .:PLilIviBING IN PECTOR
'j. ".110 7/61-500_