1407/ .! N C'r� ' I `404 NO.
VNO. MffTu� 1
J���+���®�p�{jTION FOR GAS PERMIT
SEP 13 1981 1 11 QITY OF CUPERTINO
�qt —p� p�-� 197(L. Permit No. _.,.
r
lrl l Or UUFLHTINO
Fee $ C�? 5/0
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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 laws applicable thereto.
Premises�%M M Q tZC 1'a 02.2 Q
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of
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LLg K IREW7 �. ''' Address 31% . Caaoeti - S13'W4 14
Owners. _
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Addiess
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Approve
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! rC� C2`� fO/ Vl�LOT NO.
No. sTaBBT '
® 4QQIFOR APPLIANCE PERMIT
�$If SEP 13 19M ITY OF CUPERTINO p'
Date 196..... Permit No. 6; 4
r CITY OF CUPERTINO Fees l a
• Application is hereby made to the:�Cityiof Cupertino for a permit to.install
N gas appliances as listed on the reverse si&Theraofj. and airees to install said
C appliances in accordance with the provisions of. tfie Plumbing !ode of the!City
of Cupertino, and all other laws applicable�mthereto.
Use of Premises O M M C� R C 1 r Isvorz 2
CP3301 ,c Cela 6%;Ja
own AsJP0K -TR4�Ni _ AadreSs>C3-f9 CpAyvdd
: v Y' ac v4�L)OJ ,,LDCc' Addrrcc f n
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FA
PLUMBING
h
.4
■e
��`4�\,\� J GAS ERVICE NOME.
`1'rp -!W BUILDING INSPECTO 'S, 'PPICE
d CITY OF CUPER IN
To
You are hereby authorized toconnectthe GAS service for
Owner or Teenant,_..,././I,.UE/��C:..-.
At -----
OFFICE
-COPY
, 196.4 -
New Service ---------------
No. of Meters ...............
_ Reconnect --------- ......... ...........
•
Move Service ........................
No. of Add. Meters ._.............
-••�: Move, Meter------.,.�..
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PLUMBING INSPECT¢.,:
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