LOT 6 TRACT 3993,zd as3 14
NO. V STREET
s kOT NO.#6- Tract c 3993
FOR GAS PERMIT
CUPERTINO
Permit
Fee-,$ I. f 0
${�ca Is ek ib€ li�fid bFAa City of Cupertino fora permit to install gas pipes
and (J rlgls aan llfe 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 SINGLE DWELLING
Owner RPM DEVELOPERS
By ADVANCE PLUMBING CO.
CONTRACTOR,AGENT
Phone 253-kO5G
�}jState License188596
AnI—
Address20065 Stevens-Crk. Bl,
Address10218 Imperial Avwnue
Approved
PLUMBING INSPECTOR '� /
of Appliance I Units Fees
maces
Miscellaneous
(NAME TYPE)
HOUSE GAS PIPING
Number of Outlets y Size of Main
Gas Piping Fees
Tested and Approved ........... ..:..................
DATE INSPECTOR