2062 (2) / s f-�J��/�/T7Nnr/bCl •il�, LOT NO. v
NO. STREET
y �APIjL�,CATION FOR GAS PERMIT
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a ® � Lri;� OP CUPLRTINO
yOnpQ�0Date CT 2 6 19626— Permit No. 00 Y
O f ti ru h e p�� Cit of Cupertino fora permit to install as pipes
a a and/bl� s1p��nce P7is£e �n the reverse side hereof, and agrees to install said pipes
i and/or appliances in accordance with die provisions of the Plumbing Code of the City
a w of Cupertino, and all other law applicable thereto.
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Use of Premise
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OFFICE
COPY
GAS SERVICE ' NOT CE
BUILDING INSPECTOR'S OkFICE
CITY OF CbPERTINO '-
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...-�- -/ ................_.., 1965-.
To
You are hereby aut d to c�on❑�he GASly�enice for
Owner or Tenant .... ..7....._'_"'_-'-..y �^�yr'.�i_. ... -- -- --.._......__....._-.
At
......
�J New Service _..'1...._....._
No. of Meters ._ ..._.._._. Reconnect ............. ......._ ......
Move Service .-.......
...---...-.-
No. of Add. Meters Move Meter
- --- ----......_.
PLUMBING INSPECTOR
110 7/61-500