2026 (2) CZZL( Tj C./ P CL,. �" \ X "QOT No.
NO4MI.
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iitCr 1 FOR GAS PERMIT
�NOV 6 1907 CUPERTINO
�!II
Date Oct- 31111990O Eqj Permit No. �b7 e
0.1-y VI, f�IA Feed " 31�•
Application is hereby made to the City of'Cupertino fora permit.to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/oi appliances in accordance with' the provisions of the Plumbing Code of the City
yg of Cupert,ino, and all other laws applicable thereto.
G 5
` Use of Premises Residence
r. �xs�C.
..;04vper Dee Cliffe Dev. Co. Address" t 21 t.Andrews Ave.
.�?By�i �1�, *ni>i n• rrn.•i-y Address'`
U FVrv'•L�y�
'�li��f AiZ' 6!?%A Approved _ l
` �' - PLUMBING INSPECT
Vin ®
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'I} OFFICE,
iiy
GAS SERVI' E+N GO ICE corY �y
BUILDING INS P - R° OFFICE
CITY OF CJP RTINO
:.. o ............................. 196.-?....
To
You are hereby authoriz o conn ct the se i for
Owner or Te�,,n/(ant ...... . .- ..--..... 1... _./...._�. .._.�.._, ..-.......
At ..pl�Tr ..�. ........ . .. . .. . . ........... L t( ........
New Service ... --------------
No. of Meters -- ............... Reconnect ..............................
M '
T,; iya,fa Move Service ........................
i 1
No: of'Add. Meters .............. - Move Meter ..........................
5 5.,1� R ."t.l h� rt•
4` S St'• PLUMBING INSPECTOR r1
110 7Y61,son