51087 (2) 22151 McGlallan' Rnarl LOT NO,_39 _
NO. T
EE
Al
L TION FOR GAS PERMIT
z ` ITY OF CUPERTINO
x g ?iSEP 14 1965
¢ LL Sept. 13 S10 � 7
0 Uate 1965- Permit No.
CITY QF . CUPERTINO
w Per$ 1 . 50
O App icahon is here y made to the City of Cupertino for a permit to install gas pipes
`o a 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
<w of Cupertino, and all other laws applicable thereto.
u i
Use of Premises Residence
00
oa owneFranklin—Rahl Const . Addres�_,.Q BOX o11) calnpoy11
ZJ
o By , Addie, 54: Queens—ane S J.
3 0 CONTRACTOR, ENT
Phone 298 n556
" z WILLIAM D. BENEVICH
ww
0 o State License 171537 Approved—
PLUNIEINC INSPECTOR
Remarks (Check ✓)
Type of Appliance Units Fees New Replace Relocate
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) _
HOUSE GAS PIPING
Number of Outlets I - uZ 1 Size of Main 1-$ L `
Gas Piping Fees 11.5—o
Testedand Approved ............ ...__....,....-----_.._......... ......._....._..-.
DATE. INSPECTOR