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. LICA& APPLIANCE' PERMIT
JUL 6 1960 OF CUPERTINO
DaIP H 76I epc m 1960... Permit No.�
tai�t �1 �1 VV lei((JJ�r �C fit((�I Fees 1.50
Application is hereby made to the City of Cupertino for a permit to install'
Q gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing'r',ode of the City
of.Cupertino, and all other lawsapplicable thereto.
V
Res ,
Use of Premises
B
OwnerVernis Constr. _ Address P.O. Box #3307
B San Carlos Sheet Metal WorkAddress Hayward
By 71 CSR, AGENT -
Pholla"'Carlos. CalifnrWa t ` Approve
/�/- , PLUMBING INSPECTOR
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' GAS SEVICE' NOI;ICE °opCE ''
BUILDING INSPECTOR'S OYFICE'.
\5►" CITY OF CUPERT
To
Owner or Tenant _ -- 4thGS service for
You are hereby authorized to connect
.......
At .:-...r1:L1.-y ..Z.- ...:..Y.. C?c�X E�_L'.......t
------ -------- //......... .
New, Service ..........
No. of Meters ..:::..:..:............. R ect _:....._-
......:..:....:...
e Service .... ..............:-4
No:of Add. Meiers................ R, ve Meter ..............:..........:
�. .............
..................
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�. PLUMBING I S CT R
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