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NO. ST RET
N1 R APPLIANCE PERMIT
OF CUPERTINO
FEB 9 1962
Date FFR 8 1962 196..... Permit No. 76�_
Cr CITY OF CUPERTINO Fee a
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 bode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises •a-e Q �//-
7
Owner---9 Y war ,t t, _ Address _
By D11m Address
HEATING °4fPEiF°fYAE
tie SUNNYOAKS avr rnuoo�� Approve _
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S PL UMBINO INSP6
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GAS SERVICE.�N�jj'`�' 1110E OoPYE
- BUILDING INSPECTOR'S (YPP10E ,
CITY OF CUPERJINOfl
To
You are hereby authgkized to connect the GAS service for '
Ir
Owner or Tenant - --
--..........----.-...--
p- ---------- ----
At...Q.a�1D..0..'..... ................. - ------........-... - -
Service .. �..._------
No. of Meters ----- /-------------- Reconnect ..............................
Move Service ..._ ..................
No. of Add. Meters .............. Move Meter ------------------- t------
_.- .. ... .. - ---------------
PL MB NG INSPECTOR
110 1/60-500