770 • �YLSI��Ji AP / ��ti- SI� LOT NO.
NO. STREET
�t APPLIANCE PERMIT
,APR 13 1962 CEOF CUPERTINO ^ '
Date 196..... Permit No.�!G/
CITY OF CUPERTINO Fees (0 —
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\ Application is hereby made to the City of Cupertino for a permit to install
0 gas appliances as listed on the reverse side hereof, and agrees to install slid
i'••.
appliances in accordance with the provisions of the Plumbing bode of the City
of. :uP.ertino„and .all other laws pplicable thereto.
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'�JrtrnF SHEET -AAETAILILV� � rSA�EKI'AAD AVEflUE
Address
` •'CONTR•ACTOR, AGENT HAYW061
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OFFICE
GASGAS SERVICE NOTICE CorY-
- ,f BUILDING INSPVCTOR'S OFFICE
CITY OF CUPERTINO
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To .
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You are h r6by authoriz to connect the G S se ice for
Owner or Te
ant,
At ------------------------------- ---?-'s ALL......' c
New Service .. ..:...
No. of Meters------ .: -
:-
1
Reconnect•:.:.. -`....................
S LAY `1 Move Se vice
No. of Add. Mete s;S: _ jfoJe� eter"
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t "� •r PLUMBiNG INS- R
170 7/61-500 '