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2472 (2) mange Tree—Trane LOT NO. NO. STREET . tl � CATION, FOR GAS PERMIT• CITY OF CUPERTINOAUG963 Date August 6 - ' 1963 Permit No. IV TY OF CUPErR NN') Fees Application is hereby made to the City of Cupertino for a permit to install gas pipes and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes and/or appliances in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. NC , V Use of Premises Residence Owner B1083CM Valley Homes Address 1420 Orange Tree Iane By Amaral Plmebing I Address 3M The Alameda CONTRACTOR, AGENTI 0. Phone—-1�L�3t(J[ ��[/ i i Approved mac/ /N/� I 4-0 r PLUMBING INSPECTOR Remarks (Check ✓) Type of Appliance I Units Fees IINew Replace Relocate Gas Ranges Wall Heaters Gas Plates Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces —Ended Unit II Floor Furnace Miscellaneous l l � NAME TYPE) I II pp lance Fees I I Inspected and Approved ....... -...:_. .......................................... DATE .INSPECTOR HOUSE GAS PIPING Number of Outlets Size of am Gas Piping Fees Tested and Approv . . .. ... .... ..... ..... NS D TE ) IPECTOR x GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY 'OF CUPERTINO / ......... ......... ..... ..V--a 0......... . I96-�k To You are.hereby auth 'zed o conned the GA service for Owner or Tenant ............. ...�� �—a'w-- At ...........1...�..� ....... .. .._(�;,J�.2�. ....... ..... Q.. -................... (, New Service .......................... No.'of Meters .......,............. Reconnect .............................. Move Service ........................ No. of Add. Meters .............. . . . . ove eter ......................... .... .. ....... . . .. .. .....I :PLUMBNINSPE 110 6/63-500