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51087 (3) f07 p Vista Drive LOT NO,ISA PSL CATION FOR GAS PERMIT EP 14 1965 CITY OF CUPERTINO z W f 0 Y D0 �] 314IT ata E 4. .8 1965- Permit N0. ��d �/ WFee$ 1. 50 Application is hereby made to the City of Cupertino for a permit to install gas pipes o : and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes 'z m and/or appliances in accordance with the provisions of the Plumbing Code of the City i W of Cupertino, and all other laws applicable thereto. x w � Residence W Use of Premises 00 QaOwner Frank in—B hl Conqt,. AddlesF�..O.Box 911) Sampbt'l1 zJ � z By Central SPrvi ca rr) Tnc Addle jl eei4s�'crr�,r,J, CONTRACTOR, AGENT - 0 Phon - Wz W W aState License 171 Approved WILLIAM D. P rmr—i—t a 0 �� PLUMBING INSPECTOR / Kemarks (Check ✓) Type of Appliance Units Fees New Replace Relocate Gas Ranges Wall Heaters Gas Plates Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous NAME TYPE) HOUSE GAS PIPING Number of Outlets ^Z, Size of Main �y Gas Piping Fees Tested and Approved ..............................................._-----............... DATE INSPECTOR