665 (2) LOT NO.
NO.1 S"DERC
A , PPLIANCEPERMIT
961'�U- ERTINO
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Date Permit No._' i_
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;Application is,hereby made to the City of Cupertino for a permit to install
;�,.;. . .-,•gas'appliaiices as-liEed on the reverse side hereof, and agrees to install said
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.
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appliances'in-acc6rdance with the provisions of the Plumbing :ode of the City �R
,r^^"of.Cbpertind'ind;-all other laws applicable thereto.
Use of Premises
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Owner_ de�,�-w'.F� _ Address _
Address
ACTOR, AGB_NT°�
,
I&,JTj1 IG & SHEET METAL CO. <`-y'_. : Approve_
180 E. SUNNYOAKS AVE% CAMPBELL; CALI :' �� i � � I i �PLVMBING INSP a r
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GAS ' SERVICE- NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE 'ter.==<•
COPY
/A� - • ` _ CITYOF CUP17RTINO pp:;� .
• /- ---. 196/<
To _ 1t
You are hereby a. thoci d to connect the GAS sen ice for .
Owner or Tcnant .+'� .,,'�(!� �-�,/�? C�-C 5:• ;
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At a. fry ..........:y: - -------------------
y;
"4r . New Service -.
No. of Meters .. i eta+
Move :..----- -----
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r" J No. of Add. Meters ._ .... Move Meteiit:;.-.- -------
::.... ! ------------------------------------------------
LUMBI
�NG
-------
LUMBING INSPECTOR
r 110 1/60-500 A7 -' .