842 LOT NO. A . ..
� L ION FOR GAS PERMIT
(NOV 2J 1.7J9 ITY OF CUPERTINO'
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pare Novembetr 3RTINO _. 1952 Permit No.
f7 Fee $
•Application is'herebymade to the City.of Cupertino for a,permit�to!install,,gas,pipes,: .,
Qp . a"id/oi 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 dhe City ;
of Cupertino, and all other laws applicable thereto.
Use of Premises Residence
Owner Better Cipertino .Homes Address 156 W. Jackson Hayward
By Edward J. Nagel Inc. ! -Address P.O. Box 406 Santa Clara
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CONTRACTOR, AGT j
Phone CH.3-0661 I , , Approvel��irl7lt�0c�
1PLUMBING INSPECTOR
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