730 20995 PEPPERTRFF.'i'ANF. LOT NO. '
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APPLIANCE PERMIT
it FEB.19 C F CUPERTINO
Date 9—;16-6 ;',. 196..... Permit No.
C(1P-a — ER
TINO Fees 1.50
Applicatio,;'"hereby-made to the City of Cupertino for a permit to install
�appliaqces as'listed'on the reverse side hereof, and agrees to install said
-` lappfiances in accordance with the provisions of the Plumbing Code of the City
CuEferti 'S.;ind'alUother laws applicable thereto.
w��•Useof:Pr`emipes ''' residence
a ,x Oi3ner 'COMMONWEALTH CO Address CAMP_ LL
PLO G�8 HEET METAL I Address- _ELL
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06EICE
,._COPY
GAS SERVICE NOTICE
-:BUILDING INSPECTOR'S. OPPICE
�•!/// 'FrC. CITY OF CUPERTINO
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You.are hereby au sized to connect the GAS service for -
Owner .� .r _I
or Tenant " .
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57
'••_ New Service
Y/ V
of Meters -. ...--...--_.--- j '•Reconnect.................
r;.• i 4 ' t
�M e ...
No. of Add. Meters .-------.-_. Mode�Meter .
.. ....................
PLUMBING INSPECTOR
110 7/61-500
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