2627 LOT NO. "✓
CIVO% STREET'
APPLICATION FOR GAS PERMIT
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0 Application is hereby 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
iand/or appliances in accordance with the provisions of the Plumbing Code of the City
w of Cupertino, and all other laws applicable thereto.
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.a, a Use of P raises
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`o a Owner�3.a2/ ih.a�ill .>�..s2 //�.io Address o"I' 1' 9
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791/Il7a/1�.//�
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(� a State License �/.3�/a a Approved
]�<U PLUMBING INSPECTOR
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GAS SERVICE NOTICE OFFICE
BUILDING INSPECTWS OFFICE COPY
CITY OF CUPERTINO
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You are here ant orized to connect the GAS service for
Owner or Tenant
At
..............
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New Service ......
................—
No. of Meters ._.... ................ Reconnect ......... ....................
MoVe Service ....... ..........
No. of Add. Meters .......... M ve Meter ................ ..
. ..........
PLUMBING IN
110 6/63-500 SPEo