1393 d D79/ SCof/l'LO LOT NO. J
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NO, STREET
yra 4p TION FOR GAS PERMIT
® I OF CUPERTINO
�'►SEP 1 1
Date 95_ Permit No.
CITY OF. ��� �� � Fee $_�
00
App icatlon Is e e City of 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.
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Use of Premises '1 t S/.7y vC w
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�V{ wner /OnnarQ&w kat ra <OR': _ Address frill rOSJ'
By_APAOk P/GM9/NL Ca Address
CONTRACTOR, AGENT
Phone Z= —F-(r/// TApproved �I
PLUMBING INSPECTOR
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Oho-7q I Scofield Drive LOT NO. 33
NO- - MEET
A ff: C QMOAPPLIANCE PERMIT
L CITY CUPERTINO
5 1969 - r
Date 196..... Permit No.
CITY C" r WERTINO Pee s 1. 50
Application is hereby made to the City of Cupertino for a permit to install
�
N gas appliances as listed on the reverse side hereof, and agrees to install said
,44 appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
x
Use of Premises Residence o
Owner Commonwealth Bldrs. Address CELM pbeii�
4.1 Address C v ellne.-:_69 �,�Va n`crtyoi3 13�V�� Approved +4. {
�•� ;. •,• ♦ SL. '��'- PLUMBING I9SP30•
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TEMPORARY, E. AL SEkV1 I CE
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DATE: ..........
C%OWNER: ....60........
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LOT: ....... .......................-----....;........:-•---••............................................
REASON: . .. ..................................................................
The undersigned agrees to be responsible for the electrical service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino.
Phone ... wedo
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INSPECTOR SPECTOR '1.ENANT Olt OWIN.ER
116 1/63-S00