1895 1J"� � .• r�Y/� LOT NO.
NO. STREET
I N FOR GAS PERMIT
OF CUPERTINO
if JUL 2 7 1962 /� o
Date %
CITY OF CUPERTI^`
IYDi'vFee'S
Application is hereby made to'the'6fy of Cupertino for a permit to install gas pipes
a' 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.
Use of Premises—Z---
�
Owner&,&, Address _
;By����sE 4- Address _
CONTRACTOR, AGR T
'Phonellr���3r/77 Approved
i PLUMBING INSPE
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7 OFFICE
.'GAS SERVICE; 'TICE , COPY
� BUILDING INSPECTOR' OF CE
CITY, OF 'CUPERTINO 'a
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To
You,are hereby ized to canned the ser
Owner or,Tenant.
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At
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New Servicer
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No. of Meters .::../........ m ne :. .._.. . :V..
R
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Service ku
Y No. of Add. Meters ,.Move Meter
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PLUM'fl�Y@`�RIIS�E�$�OR
X110 7/61-500