805 LOT NO.--Y-��"T�'-
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1 ,A'PPL-I d I FOR GAS PERMIT
C U� CUPERTINO
OCT 22 1959U
(� Date , 195_ Permit No.
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CITY 0; CIJPERTIN Pees
_ 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.
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'Pho�e". co •'! R, ceNi- p �yy1LLIAM D. AFNF_VICH
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PLUMBING INSPECTOR
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DING INSPECT R'S1 ;PPICE
CITY Or:CUPE I
To
You are hereby authorized to conned the.GAS serd e-foiy,�, Vp
Owner or Tenant ---�r./.. .0. ..... . .. .......... . .............. ........- ---....'....... i
At Q 7B `
New Service
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No.of Meters ..../................. Reconnect ............... ...
Move Service .......................
No. of Add. Meters .............. Move Meter ..........................
................ ...........
PLUMBING INSPECTOR V"'V ,e-:''
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