926"r'd LOT NO.
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ICATIOI)Fq ,APPLIANCE PERMIT
AUG '0 0 MNGM&OF CUPERTINO
DateCITYOF CUPERTIPZI" " Permit
f7d'install
Hereby ma&t t�ht!dty of CupertiGoJona-permi
Applicati6n is;
gas appliances as Ilsted on the reverse sl ereqf� arjdQ, ''tp",riinstall said
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PLUMBING INSPECTOR
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GAS,S5 VICUNOTICE.
'BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-------------
No.
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No. of Meters....... _........_. � � .�
No. of Add : Meters 4
PL
110 7/61-500 •.
I
OFFICE
COPY
.. 196.7�-
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