519 (2) Q�O $ PEPPERMEE'LANE• LOT No. 10
NO. STREET
• 1
APPLI TaNCE PERMIT
CITY OFC NO
9 JUL 2 4 1g6t
Date'LIAt:R7196..... .' Permit No.
CITY Of CUPERTINO Fees
d Application is bereby made to the City of Cupertino for a perinit to install
C� gas appliances as listed on the reverse side hereof, and agrees to install said
d appliances in accordance with the provisions of the Plumbing bode of the City
r
Y of Cupertino, and all other laws applicable thereto.
2
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Use of Premises *+F g i •?2f18 B
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Owner COMMON1IF4LTH BI,DRS_ _ •Address AIAMP.P4
Address
930 S. Gilm n AcoNT'Acioa,'
1F.one E e Hfnrnia Approve
BIN QNSPE
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GAS SERVICE NOTICE OFFICE
COPY
COPY
BUILDING INSPECTOR'S OFFICE' -
-- CITY OF CUPERTINO ,
....... 19"&/
To
You are hereby authorized to connect the GAS service for- -
-.is
Owner or Tenant .: - _. -_.. .
. .....
At..... _ .
New Service .............
- No. of Meters --- ----------------- .Reconnect ..............................
Move Service .........::.............
No. of Add..Meters -------------- - '; , 'Move Meterd.::`........:--.......-..-
ry
2S•%L�e� PLUMBING. INSPECfbR %x:.> s;�t;i•:
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