2270 (2) /0 3 �i 9 LOT NO. `� 9
NO. STREET
/ ' APPLICATION FOR GAS PERMIT
z i :•+ 'CITY' OF CUPERTINO
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3 ¢ Date r'"'rr r •��% L96 3 Permit No. c2a 70
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'- O 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 w of Cupertino, and all other laws applicable thereto.
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OFFICE
GAS SERVICE NOTICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
TO ------------------------- ........ 196.
You are hereby autho e to C unect the service for
Owner or Tenant
At ....
New Service ........................
No. of Meters /..........__--- Reconnect
Move Service .........
No. of Add. Meters .............. Move Meter .........
-4 --- I'Lumi
ING INSPECTOR
110 7/61-500