2071Y! Xjj 7 LOT No.:
6% LICCkT FOR GAS ,PERMIT
1NOV 6 _19611 CUPERTINO'
DateCOaF�.( TLf�Tl�17— Permit No.
rIT �O71 y
t t �n v Fee $
L=Application is hereby made to the City.of.Gupertino foi;eperniitto iasfall',gas_pipes'
and/or gas -appliances as listed on the- reverse,side hereof" ah 48'rees to install 'said pipes'
and/oi appliances in accordance with%the pjo isions'"ot',the_PIuijbing Code;ofrthe City
of.Cupertino, and all other -laws applicable hi�i''eto+_; ;�i •i •; •: r Sy r„� 07-
g Residence
` Use of Premises
nTMA`tOgQg.d Y`''A3ili�ss 1 t Andrews AVs
Phot }> Approve _
.1(. PLUMBING INSPECTO
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— — — — — -- — ------
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OFFICE
GAS SER, NOTICE coli
BUILDING I 0OR'S OFFICE
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CITY , CUPERTINO
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----- - ...... . ... . . -------- W -------- ---- — ------ 196-�F.
To I
You
Owner or
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At ... f
New Service --- Li
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No. of Meters ../................... Reconnect ...................... .......
Move Service ............. : ..........
No. of Add. M6ters .............. Move Meter ..� .......................
"f'r,
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PLUMBING INSPECTOR
110 7/61-500 1