588 (2) LOT NO.�
NO. STREET
�f� i�3r8 A A i FOR GAS PERMIT
VW22= O PERTINO �- •r/moiDate JU 19S9t� -� permit No. ✓ 4O
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Q Applica ,ITY h of, made'to'tRT t 'tSf Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or 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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UseofPremises �-!�w_<C_�.-�. '
n Owne a L (oo. Address ` 6 e �
By D Minca Address -
HEATIPfE9WR9FRY,Aft�fAT CO. Approve Q
PhOQ497 Stevens Creek R4 9. e. n... r_
' PLUMBING INSPECTOR
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Cupertino Sanitary
Office Copy
BUILDING INSPECTOR'S OFFICE ,
. .CITY OF CUPERTINO
�wer Connection Sanitary Permit No. .---. .r:........
Plumbing Final Plumbing Penult No. .
Owner or Tenant \I��
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. At p .."'l'
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_ Tract ............................. .' .
Date Connected ----- I --- - - 19
Date Final ... }`` ....
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Pi.UMBING INSPECTOR
111 1160-500