594 (2) (Z> o$ 6I PEPPERTEFF. TA1QE LOT No. �$
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® PP tON IFOR APPLIANCE PERMIT
O.CT < TY OF CUPERTINO
0 1961
�ct 1L
Permit No. _
UPERTINO
L\ "` Fee $ ' EG
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 code of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises residence
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.n Owner_ +� J Address
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lgone _r...r�—r•a,_,• Approve dN
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"T GAS SERWCE-tPOTICE OFTICE
_COPY'
/ I BUILDING :INSPI'sCT S OPFIC1:
-` CITY„OR';ICUPLR O
-------- 1961
To
'r,You are hereby authoriz d to connectthe GAS service for ,
Owner or Tenant ...:.. -... ................. GG �
>. _. ..
New Service _---------------
'No. of Meters ...... ..........
......_ Reconnect
1 '-------...:..:
Move Service,
No. of Add.-Meters ------....._. Move Meter......-
? ---------- ' :,,
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t r-R T`j r PLUMBING,°INSP,ECTOR:== §
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