884 -GAS PERMIT�t �LOT NO. /
NO., STREET
�} I 1rION FOR GAS PERMIT
1ItY OF CUPERTINO
/JAN 11 1UDU
Date /' t( , 19tfU Permit No. Cs�
CITY OF CUPERTINO Fee $ / s °
Application is hereby made to the City of Cupertino for a 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 other laws applicable thereto.
Use of
Dwnex
By
CONTRACTOR, AG
Phone ` R
Address _
Addres
V.
Approved
PLUMBING INSPECTOR
Type of Appliance Units Fees
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace I I
Miscellaneous
NAME TYPE)
Inspected and Approved .............- - .---------- .....---------------
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Test4and Approveda` Ai�0 .- .............
SATE INSPECTOR
O 7 I /LGZ f DLF''_j LOT NO. 3 L
Np.. STREET
i --.'
C BION FOR GAS PERMIT
ITY OF CUPERTINO
Nov 201959
.%
Date NOV 1 9 1959 195_ Permit No. ,�
CY OF CUPERTINO Fee $ �i
Application is hereby made to the City of Cupertino for a 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 other laws applicable thereto.
Use of Premises
r;
M .&,11-,
�. .
ca Ownerka
By DIVISION
TINGCBsv#1EbIty18 Of
Phone 7 UeY� Creek Rd. Santa Clara Ca
Address •
Address
Approved
PLUMBING INSPECTOR
Units Fees 11 New
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
'Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE
Appliance Fees
Inspected and Approved
/ I So 11
.M
INSPECTOR
.. HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved .................. ........... -----------------------------------
DATE_ INSPECTOR