2186 LOT NO. �� I
NO. .$7'HBET �°R'� �L .
�A`RPL1E T1'8'k, FOR GAS PERMIT
i a, �31 �pF'CUPERTINO
x o, !FEB 2 8 9 �Ift
M _ i ry�
;01 Date_ 1963 .''�` Permif.No. a
= LL CITY Q: 111DERT1N' .:.;
' 0. Application is hereby made to the•City of Cupertino for`atpermit to,install gas pipes
o a and/or gas appliances as listed on the reverse side hereof,4n'd,agrees to install'said.pipes
im and/or appliances in accordance with the provisions of.the Plumbing Code of the-City
a r of Cupertino, and all of r laws applicable thereto. 3,
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F � �1��/•/[/ + . -':moi..
0 Use of Premises
f•r
00
3
Owner—tD Address
i� /J /� ,
z B �/• %A"✓`" Address //7 2Y //"LC' -4
l � o y -co10't'Rl-Ct'61i-n'GCP7�
3W
Phone
7
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0 o State License Z9`S1, Approved `;
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OFFICE
i GAS SERVICE NOTICE COPY
! BUILDING INSPECTOR'S OFFICE
" CITY OF CUPERTINO
. �................... 196 .
To
to co f r
r
Owner raT'enant- auth ct the S d o
hereby
New Service ..........................
No. of Meters .... ....:.......:...:i s.,,. . Reconnect
Move Service ........................
i No.'of Add. Meters ......., Move Meter .........:...............
........... .. - -------------
PLUMBING INSPECTOR
110 7/61-5100 i'