2089I O,-1-aI a c�LQZ� (a, ".OT NO.
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ETAPPL'ICA�T�fON FOR GAS PERMIT
w NOV 19 1962oP cuPEaT1No
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3 - - 196— Permit No.
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o Application is hereby made to the City of Cupertino for a permit to install gas pipes
o < and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
rand/or appliances in accordance With the provisions Of the Plumbing Code of the City
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of Cupertino, and al! at er lacus al2,l;,)icable thereto.
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To
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
OFFICE
COPY
196-1
You are hereby autho ' to�connW the GAS s -ice for
Owner or Tenant ....... �.._....._.
At
-.r ........ - /------- .......
New Service _1�...................
No. of Meters ...._. Reconnect
---...._..... --- ...... .................
Move Service
No. of Add. Meters -------------- Move Meter ....--....................
PLUMBING INSPECTOR
110 7/61-500