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1126 0O ^TR T _. PLIC `TION FOR GAS PERMIT OCT25�y�p6O �(TY OF CUPERTINO Dht�YI�)1II+r1�dlDrnrin, 194 d Permit No. �f —��—a�Cf1Tf1VII Fee $ I• C5 o Application is hereby made to the City of Cupertino for a permit to install gas pipes; 'J 0� 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. u Use of Premises �•%��� v Cn Owne & ✓ Address �1 B + cfc ;iJ. &L Address 6` �+ �- ��� CONTRACTOR, AGRI ,,_ Phone V/f/ ';?—.3 zl J Approved S PLLhABING INSPECTOR w�.o• � . � � m w^� ro o." .-I R °` �' � ::mow xl � o 'o ------------------- > - rt A 7 A - -- g� GAS SERVICE 'NOTU1, " OFFICE CC7j )BUILDING INSPECTOR'S qFFICE. .. PY CITY OF CUPERT/INO ----------------.---Lr ...... ------------------ 196.03. To You are hereby authoriz d to connect the GAS ser ' e for Owner or Tenant ...... ............... rl. .. .. At.....,1..9...9�v1....-. � ........ New Service ._.`�....._......... o. of Meters ........ ............. Reconnect .............................. Move Service ........................ / No, of Add. Meters .............. Move Meter -------------------------- ................. . ------------------------ ---------------- LUMBING, INSPECTOR 110 1/60.500