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LOT'NU.
NOT' STREET
Tract ##2086
91. ��' /
". APPUGA�IOM FOR APPLIANCE PERMIT
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1UN f f CITY OF CUPERTINO
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Date 1. 6Z17/6 _ 196--... Permit No. /
CITY .OF CUPERT
• • s Fee S
Application is hereby made to the City of Cupertino for a permit to install I
gas Appliances as.listed on the reverse side hereof, and igrees to install slid
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises_Ro a
u
AN &Wff Cr�tino Prop. Ltd Addres9582 Market St. S. F.
By779 OLD COUNTY ROAD Address
SAN CARLOS;og�q 01! ENT• WILLIAM D. BENEVICH
Phoneme 1=260 Approved
WILLIAM
PLUMBING INSPECTOR
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GAS SERV41.6q� OTICE, �• OFFICE
.�� . . BUILDING INSPECTOA'S OFFICE
'CITY OF PERT
CUINO
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You areherebY lauth �o ed to conned the GAS service f
Owner or Tenant Q,'
........ ."^th. . lt�-.P_... ..... . ............
At. �i ..
. .... ..
New Service ....... ..................
.. ...............No!.of Meter's .. .. .
. .•• I Reconnect ..............................
Move 'vice "--
........
No. of Add. Meters ...... ....... »., Mov Meter ..._.r..:..r.....s:---
.............. . .... ....
PLUMBING INSPE O
110 6/63-500