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640 (2) Bonny ori ire LOT.NO. 57 NOVA STaBBT•Y`_ . APPLICATION FOR APPLIANCE PERMIT �9Cn ,� �A C OF CUPERTINO R_v 1,9 1 =Date I2-5-61 196.._-- Permit No. �= CITY r-.�'VERTINO Fee a 1. 50 4.r Application-is'hereby,made to the City of Cupertino for a permit to install gas appliances-islisted on the reverse side hereof, and agrees to install said ,s•,;,",,.,. applian"cgs.im 4ccordance with the provisions of the Plumbing rode of the City of Cupertirio,"and all other laws applicable thereto. '•'`O'erUse of Preini sa:�l .i-residence iLIME Commonwealth Address _ %finer FOEEY 6tEe�,L C® ,_ Address ���'�'' yBX 4RIQi1 COIJ3RACTQW A^uaNT,�t I Approve ti `._ _ +•--., PLUMBING INSPECT w �`.•, OR'i '••�• � d n "' � G n ".n `j �' o W p• 27 � N' w o'o .ptz ." ul � O ------ -------Y - mss'. : GAS' SERVICE NOT �r . OFFICE BUILDING •YNSPIlC`EOR copy S;_O• ICF.` CITY' OP CUPERTINO .� .'^`%��t ' Q2 % ......_..... . 1 96 You are.herehy auhonzed',to connect the GAS service for Owner or"Tenant;:.... .._ . . .. . .. ._ .. ...--_ .. .__---- -- - ---'_--- At .�2Q %d.. ... ------- :----. :.. :::.... ..-- -- +• K' W. vlcC - -. No. of Meters'.. -------- ` Re onnect ....................-- . . ; . ; • . ;.�, Move Service , No. of Add. Meters'.............. �; More:Meter ....._.....T...:._.....• -' t+� r?�'� � PLUMBING INSPECTOR II4rao I/6o-500