906 _
FIN FOR GASPERMIT
OF CUPERTINO
AN 211960
Date � 195_ Permit No.
\3 CITY OF CUPERTINO Fre $ j So .
_ 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 t�nstall said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all (7 ws applicable thereto.
{ Use of Premises
Owner L Address" '
By �l�P �!/f!�� Address
AGENP
O�—/OPhone
\\APProved'
PLUM INc INsve�oa
d n C n 000 's7 7c.
� tS n R >
id
rn �
d o
R
N
.a
I