1471 LOTNO. R-7
NO. STREET
0.i FOR GAS PERMIT
-C'EPy UPERTINO-
1961
Date 6� . , I _ Permit No. ! -sL71
OG�
CITY OF CUPERTINO . Fee o0
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Application is hereby.made to the City of Cupertino for a permit to install gas pipes . .
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.
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Use ofPremises t
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By MAL-J�'-'�o A1�.S.. Address —1'-6
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iACTOR{� CONTgAGGENT -
' Phone � L- / 0g6-0_ ( APPiove
1 PLUMBING INSPECTOR
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GAS .SERY!CE, NOTICE OFFICE
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BUILDING .INSPECTOR'S OFFICE +: .-
•I :� Adt••.
CITY OF CUPERTINO
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To.
You are hereby authorized to conned the GAS service for �-
fi •4A ...
--. •'Owner or Tenant .1_At e , ---I- .f�..7—I-r
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New Service --...✓.... ................
No. of Meters .... .......:::"i:S:a Reconnect -----------------------------
':�.;�`. .. • Move Service ........r. _
No, of Add. Meters Move Meter ......................... `
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PLUMBING INSPECTOR +�"