1468 (2) LOT NO.
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® "" 4T TI FOR GAS PERMIT _
D�T 3 '96�I F CUPERTINO
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Date OCT 2jqRj195_I Permit'No.
F. UPERTI '
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Application is hereby made to the City of Cupertino for a permit to install gas pipes
I and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes'
QN` and/or appliances in accordance with the provisions of the Plumbing Code of the.City
' of Cupertino, and all other laws applicable thereto.
Use of Premises l
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PLUMBING INSPECTOR
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GAS SERWICE�.NOTICE OErtcE
BUILDING INSPECTOR'S OFFICE COPY
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j CITY OF CUPERTINO
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To I
You aiehereby authorized to connect the GAS service for
Owner of Tenant - ..-C. '.�2�� t�7��G'.:.... .. ..At
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:New Service .. ....... s
. ..,. No:�of,Meters .�.......... ... w -. ;;-Reconnect ..............................
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Move Service
izhNo. of Add. Meters
..._---..... Move Meter
i�y LUMBING INSPECTOR
110`1/60.300 w qj� ;::c� - r?.i
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