2814 Lot NO. •' / I .
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A ION FOR GAS PERMIT
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TjY OF CUPERTINO
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IRMAY 7 1964
3 ¢ Date CITY OF CUP ERTINIt�� Permit No.
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Application is hereby made to the City of Cupertino for a permit to install gas pipes
'o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
iand/or appliances in accordance with the provisions of the Plumbing Code of the City
a m of Cupertino, and all othe I ws applicable thereto.
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Use of Premises
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3 r TOR, AGENT
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1114
oState License�j� Approved
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PLUMBING INSPECTOR
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GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
A CITY OF CUPERTINO
........ ...........✓117.6........... ................... 196!0�'
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ....�4101
!;. . . ...... ............. ....................................................
At ..Aumlp .
.....4� 'C� .
....................................................
New Service ..
No. of Meters ....1;Z... ...... �...................
Reconnect
Move Service .......................
No. of Add. Meters ............. Move Meter ........................
PLUMBING INSPECTOR