288 (2) LOT NO.-'
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NO. STRUT -
APPLICATION FOR GAS PERMIT
2+ S S CITY OF CUPERTINO
Date 10 Permit No.'�2 —
N
p Fee $
Application is ereb ak � j of tino Fora permit to install as pipes
G � PP y t" s�7 � P g .P P
and/or gas appliances as listed on the reverse sl ereof, and agrees to install said pipes
and/or appliancecTV-rflfe o e rovisions of the Plumbing Code of the City
of Cupertino, and all of erg( s
• °'" SLOWER FU RACE
Use of Premises SETTER CUPERTINO HOMES
,4.. ' IDLEW ILD T'R Wz215 -
SAN CARLOS SHEET METAL WKS.
n.. '1 caner ' — D.Add s�—Osktt LAB .
Address
Ah
.t ',•' ' CONTRACTOR, AGENT
Phone Approved
i W; :• , I I I 1 1,1 I PLUM NG INSPECTOR �j.._/
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A P ; A j� F
r GAS SERVICE! NOT1C a OHI E
& :. BUILDING INSPECTOR'S:O1FI E
CITY OF CUPERTINO
o
.:...:........:.................. . ........................
To1
You are hereby authorized to connect the_PA§service for '
r: Owner or Tenant .... ..At
........
..:....:...... . '
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No.'of Meters .. :.- .... ' Reconnect. ......................... . .`.,'
�.
M
.. - ove Service .......... �+
No. of Add. Meters ..... Move,Meter ...:...............: ''
PLv ING INSPECTOR '
-110 6/59-500