627 (2) ao �b I Peppertree Lane LOT NO. 44
STREET a '
APPLICAihlON¢F44 APPLIANCE PERMIT
111 CUPERTINO
41DEC 5 19)1
Date 12-5-61 196.: Permit No.—.
CITY .,OF ,CUPERTINO Pees 1. 50
Applicaiion is hereby made to the City of Cupertino for a permit to install
N gas appliances as.;listed.on the reverse side hereof, and agrees to install said
r�-I appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and'all other laws applicable thereto.
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Use of Premises residence
it 8
Owner Commonwealth Bldg,_ Address—GaMphel1 _
'g`�i� $;� T !^.'•�daL�+��C�® Address am e
Ma',j CONTR'ACTOi',AG&10
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e__r� a�_ra.....:n Approved
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PLUMBING INSPE 'O
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GAS SERVICE N CE ' OFFICE
BUILDING INSPECTOR'S' O, ICE w torr
'CITY OF CUPERTINO -
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,.,You.,re hereby authorized to connect the GAS service
Owner or Tenant . /1?11�1.7 ��L• .C '4'ffC ��.. i �el/'.._'...-..---.�..
- . . New`Service ----v.............
r No. of Meters ---/....... ... .-- - 'Reconnect .......----....,:,.. -
+.• . _ - Move Service
:<�-- No. of Add. Meters................ Move Meter .................._.__.
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��Z:ln•iil� w ori„ j ') `' PLUMBING INSPECTOR
110 1/60-500 7( Y.
s.u�i�=T�t'.c�t,.4:_:.:...—��^•4•I �"1 H c +.WSJ