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835 (2) LOT NO. �r' NO. Tab D PL A 'jQR APPLIANCE PERMIT �J UN 1962 , OF CUPERTINO l/X�, Dat eMftftK ll`IV19G..... Permit No. V�/ Fee $� Application is hereby made to the City of Cupertino for a permit to install gas appliances as listed on the reverse side hereof, and agrees to install said appliances in accordance with the provisions of the Plumbing rZde of the City of Cupertino, and all other laws applicable thereto. .Use of Prremises u - Owner Address_ By_ DIASION4, -I 1 } -, Address -- HEATING & SHEEPW*WC@@;AGBM' 1 180 E.P.htDMtl'OAKSAVE. CAMPOELL CALIF I i {I Approved •I i 1 1 I ! 1 I i PLUM BIND INSP OR Cl L) � ail n '^ 0 --w y b ^� 1 �' .,' .. .. CCPY�. 9 G . SERVICE. OTICE BUILIANG v INSPECT 'S OFFICE - ` CY.rY OF CUPERTINO To .................lD//�._........_...... I9�.�- ' You are hereby auth ' /09,co nec G service for .'. Owner or Tenant .... �< % t _. .. _:......_... At .... l _. .--.----- /S.w.-.--- -/l.�.nC�L- �'--,_............ New Service -..--..;x..._...--._ . No. of Meters .-. -.----...----- Reconnect --------- . Move Service .__.................. No. of-Add. Meters -------------- - Move Meter .......:..... .......... r. ' LUMBING INSPECTOR. , -1 t0 7/61-500 - - '