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® 49=7A HhPLiCA710N FOR GAS PERMIT
CITY OF CUPERTINO
.301959
Date e - 0 195i Permit No.7_
CITY OF CUPERTINO Fee $ / SO
Application is hereby made to the City of Cupertino for a permit to install gas pipes
C 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.
Use of Premises
�(2ef
in Owner Address
Address 7� : b/cP C c, 7-j R,C
CONTRACTOR, AGENT
Phone E " " T T 7 Approved
PLUMBING INSPECTOR
'b n 7 7 O
V w
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A A -----_ --------- T'
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SERVICE NOTC + _: � 'COPYE
BUILDING INSPECTOR'S O FI
r CITY OF"CUPERTI........ .,�.1._��:;_ .:............. ........
You are hereby authorized to conned the GAS service for
CIO .
Owner or Tenant -- .��- -.... . `,�,ri(/ -
At ..............
New - ......Service -- .:-- .
- -No. of Meters ....-..----... - Reconnect -----------------------.
Move Service ........................
•' �.
No. of Add:Meters.............. Move Meter ........:.................
?UMBING.
. . .............---........--------.......-..
INSPECTOR
.110'6/59-500 ; -