2077 NO. STREET
VNOV ►� ON FOR GAS PERMIT
OP CUPERTINO
6 1962
Oct. 31 1762 � b 17
Date � t93_. Permit No.
CITY OF, CUPERTINO Pee a
Application is hereby made to the 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 lawsapplicable thereto.
Use of Premises Residence
Deep Cliffe Dgv. Co. L
NN# er s.�'T 241 M 13+15. Address 22t
Pewa ye.
.I" t54y f t r.' 2CIA! 9RRLEP JA'ddre3s`
ceo.,+►'fao5�df'i1�.NT
one—... , Approved
,, •" � I I I i I I I I , + I I 1 PLUNe1NGT 0. •
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S)FFOPYICE
C
GAS SERVICE NOTICE
III / BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...--------...----......,1....://---------------- 1196-0.
To
You are hereby authopnd to co nett AS vice a
fo
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Owner or Te ke-e
............................
New Service .....Aw�..........
No. of Meters ------/.............. Reconnect ..............................
�x Move Servi& ..... .. .............
,No. cif'Adl Metfts.—!.. Move Meter --------------------------
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PL MBING I
110 7/61-500
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