2352 LOT NO.
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NO.
�APPi1G'A ION FOR GAS PERMIT
" � JUN 20 1963 CITY� P curexrlNo
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Date 1963— Permit No.
_U CITY OF CUPERT=�'^ Pee$ 7 6
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
i m and/or appliances in accordance with the provisions of the Plumbing Code of the City
a w of Cupertino, and all other laws applicable thereto.
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Use of Premises
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? Address
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NTRACTOR, AGENT resst/�'/e.Cx
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WW WILLIAM D. SENEVICH
State License C �� Approved
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PLUMBING INSPECTOR
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GAS SERYK, NOTICE OFFICE
COPY
BUILDING INSPE OR'S OFFICE
CITY OF CU RTINO
...........I-- -----------
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You are hereby authori�z�cqnnect the�GAS ervice for
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Owner or Tenant ......... rq
--- ----- - -
At ............ .......E -. - ..*............................
New Service .....
No. of Meters .........I............ Reconnect ..............................
Move service ........................
No. of Add. Meters ........... .. M
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Ito 6/63-500