708O
9
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Date
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Date F
LOT NO. T /
LIANCE PERMIT
Permit No.7cl'
Fee t ! _—
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises ✓ C., moo( u
Owner
By �VISI(�N
HEATING & cS`� PE'"I'9jff ltGff'.
1BItUn6I1NNvn�wc ^Vg.—GAMPSE C{}Nt 1
Address_C—
Address
Approved
PLUMBING INSPECTOR
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"q GAS SERVICEtN TICE COPY,
BUILDING INSPECT OFFICE
CITY OF, CUPE4,Tl ,OO p q
.... f../.............._.........._, 196.,
To
jYou are hereby authorize to connect the GAS service for
Owner or Tenant .......:
At..... -._4�� . ..... --- ria..................::................................... .
_ New Service L�
No. of Meters ..... .. "Reconnect ...-.........................
Move Service
No. of Add. Meters............... Move Meter
........... 05L----------- --_
PLUMBING INSPECTOR
,, ,110 1/60-500