2179 (2) o03s LOT NO.
ION FOR..GAS PERMIT
W z ` IFEB 19 9953 1WY OF CUPERTINO
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° Application is hereby made to the City of Cupertino for a permit to install gas pipes
o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
a and/or appliances in accordance with the provisions of the Plumbing Code of the City
a w of Cupertino, and all other laws applicable thereto. g
.a, w Use of Premises .G.
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3 0 CONTR CTOR, AGENT
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State License' Approved
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,PLUMBING'INSPLrCT0
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OFFICE
COPY
qAS SERVICE NOTICE,
BUILDING, 'iN"SPECTOR'S OFFICE
CITY OFJCUPERTINO
......................... ......................... 196--------
TO
You are hereby autho'rized to connect the GAS service for
Owner or Tenant
At ...
New Service .....L-�. ............
No. of Meters j............... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
..............01��........ ..... .
. . . . .....
,e� LUMBING INSPECTOR
110 7/61-500