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APPLICA�IpN FOR GAS PERMIT
w Z JUN 20 1963 Chi tOP CUPERTINO
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3 ¢ Date / // 0IDTI�}§63 Permit No.- �
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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 w 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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W w j WILLIAM D. BENEVICH
uState License G3 "�a ,3 s i Approved
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GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.............-- --------------- ...l.. ..
. .......... .3............. 19A.
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You are hereby authorized to nett the GAS sere ce for
Owner or Tenant ..........-- -............ ...... ------- t�.. . ... .. .. ...A.—O
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At ...........- -69Z.,.6
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a.4........... ...................... ..................................
New Service ...........
No. of Meters ........ .... Reconnect .................. ...........
Move Service ........................
No. of Add. Meters ....... )ve eter ..........................
................... .... ... .. ..... ........ . A
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�LUMBING I NSPECTO
llo 6/63-500