NO PERMIT NUMBER (4) TEMPORARY. GAS SERVICE
DATE: ---------- ........ -------- Fee: ...�.--b
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OWNER:
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RE,ASON: - ----------------kA-Q-CaAPR 1
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The undersigned agrees to be responsible for the as SCE,N'ice"qtollc-4:iboverlocation,
until the building is ready for occupancy, and N I k� (,)-- Ott �'. J ..'
City of Cupertino. tsilreleased by the Building Dep�rtment,
Phone ... 2-:5 Z=,q
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117 1/63-500 INSPECTOR TENANT OR OWNER
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