2060 (2) LOT NO. Y.
NO. ^—' K-EET
�PP Id`ALily
joN r-01 GAS PERMIT
w i OC CUPERTINO
p f OCT 2 6 1962
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0 , Date 196_ Permit No.
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Fee $
° CITplicQun i h RTIQthe
City of Cupertino for a permit to install gas pipes
o W and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
i N and/or appliances in accordance with the provisions of the Plumbing Code of tate City
a W of Cupertino, and all other lawIicable thereto.
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3 Owner Address
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o to Licensyl�( �r ^ Approved i /
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TEMPORARY GAS SERVICE
FEB 2 8 5,
DATE:
ZIP Fee:
C1T0VWN('NR:
AT:
LOT:
The undersigned agrees to befor the ' location,
until the building is ready for occupD7and is released by the Building Department,
Cit f Cu rtino.
INSPECTOR TENANT OR OWNER
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Phone
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)1/63-500 INSPECTOR