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2 j S SLI TION FOR. GAS PERMIT
® � CUPERTINO
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Date cn4nr 1 Permit No.,
TT��// Fee $,�
Q Apps[ tion OfiereWRERTMOty0
f 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.
+• BLOWER FURNACE
Use of Premises
IDLEWILO .TR #2155
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` G;4S SERVICE aICE r °oPiF'
I BUILDING INSPECTORS OFFICE '!
r CITY OF CUPEATINO .jj _ i9cx /
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-.................:........
To _
You are hereby authorized to connect the•GAS service for
Owner or Tenant ........-.-
At4...........:...................
New Service .. .
No. of Meters_...... .:.......... - 'Reconnect ...............................
. Move Service ........................
No. of Add: Meters ....... Move Meter ............:.. ......
. ....
-- .... _._
PLUMBING INSPECTOR ' ux rr?
I 0 6/59-300 - - : t: n... .V
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