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2070 (2) LOT NO. O NO.. {BT APPLI T FOR GAS PERMIT ;., ffNw 6 1962c 'F CUPERTINO Date OCt. Permit No. Fee 3 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/or appliances in accordance with the provisions of the Plumbing Code of the City ' of Cupertino, and all other laws applicable thereto. UseofPreons'es Residence L. Own"er '' Det p Cliffe Dev. Co : 'Address Lo 10 rewo Ave. $W 1. HICKEY SONS / Address ° �lidnk�IYUh6Approved / S ::PLUMBING INSPECTO C)�� $ 0 v o N - T � E 7 _ O y - OFFICE COPY 14 IAV GAS SERVIdE I0 ICE BUILDING INSPECTPF�'S OFFICE CITY OF CUPEIVINO TO You are hereb a mth * d to a 4ec ?pG ,e service,//may yau , Owner or Te . ... .. - ---------- .......... . .***..... .... At--- New Service .... ..................... f Meters ...- No. o ... ...... ... Reconnect .............................. Move Service ......................... No. of Add'.'Meters ........... Ydve� Meter ...................�:.j...... lkl-.... ............ ........ B ING INSPECTOR 1O 7/61-500