NO PERMIT NUMBER TEMPORARY. GAS SERVICE
DATE: ---------- ........ -------- Fee: ...�.--b
------------
OWNER:
--------------------
A- ---- -------
LOT: --
M--------- ----- -- ---- ---
RE,ASON: - ----------------kA-Q-CaAPR 1
--mt16963
— —-------------..................
The undersigned agrees to be responsible for the as SCE,N'ice"qtollc-4:iboverlocation,
until the building is ready for occupancy, and N I k� (,)-- Ott �'. J ..'
City of Cupertino. tsilreleased by the Building Dep�rtment,
Phone ... 2-:5 Z=,q
--------- -
-------------------------------------------------------------------- .......
117 1/63-500 INSPECTOR TENANT OR OWNER
W��W�