291 (2) LOT NO.
NO. RTR00T= ,
21
N FOR GAS PERMIT
® 1101
C • F CUPERTINO /
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Date ���� , 51 Permit No.
pplt�ti I1 iS ZbYr E"TlNoFee $
A 1 o her ma e to the City of 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.
BLOWER FURNACE
V
Use of Premises BETTER CUPERTIN❑ HOMES
y IDLEWILD TR f2154--
Owner SAN CAR[..OS S H E ETACd1d�CssAL WKS.
.779'OLD CO D.' SAN
By Address
CONTRACTOR, AGFNT„•,. ///
Phone -;C+. i'. Approved' /
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•• r`„y t� 11 ,. G .. '-PLOINSPECT OR �
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GAS SERVIrE NOTI� OFFICE'
COPY
BUILDING INSPECTgR'S-OFtIC
CITY OF CbPE TING; y.
To
Youarehereby authorized to connect'the GAS service for
Owner or Tenant .. ...... -
i�""T
At
• / NewService' ✓�_
No. of Meteri-.- :/. . " - Reconnect -
!!!. .. i .-• Move Service ........................
No. of Add. Meters Move Meter
,;
.::.:....:............1,........
PLUMBING INSPECTOR
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