659 (2) LOT No. z 7,
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A I TION O�� ►PPLIANCE PERMIT '
I DEC 2 9 1951TY .cuPExrlNo
Date DEC 2 I 196 o. �` S
C1TY�tiPERTINO Permit N
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Fee S
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 r':ode of the City
-of Cupertino, and all other laws applicablethereto.
Use of Premises oi.t��.
in Owner_ � Address '
ru
ztw pi&A Address_
HEATING & Sf�Et?NiITE19P to'k.GHNr
1io EftancygnRG nbg mhipg 11. fAIIF PP r(((
PLUMBING INS R
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G.jyC SERVICE 'NOTICE S O FICE
1. Opy
BUII3DING INSPLCTOR'S OFFICE
/ CITY OF CUPERTINO
To ----- --- ---- .... ............... ..-- - t 96J..
y-You are hereby authorized to connect the GAS service for ,
Owner or Tenant _..... ..Z�/,, •e c ,%'- :=--- .
At
_R.. .,•�I,:o 4rK�t New Service ...
. .No:of Xeters ---- - --------- Reconnect
Move Service
it
•• No. of Add. Meters -------------- Move Meter .-....._-------- ........
PLUMBING INSPECTOR
L30 •1/60-500
,