NO PERMIT NUMBER (3) ✓ .7 `, / i - L �I l LOT NO.
STREET "U
APPLICATION F 'R GAS PERMIT
CITY OF CUPERTINO
.AUG 9 1960
Date , 195_ Permit No.
Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side'lfereof, and-agws to:i sl l 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. •-
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Use of Premises_1—FAM 1 1 Il j I D E N C E r+
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n Owner Address
By1C)F MAFAI PI �IMRl"r Address
36�dT141 PH ME4T1u'
Phone SANTA CLARA CALIFORNIA Approved
PLUMBING INSPECTOR
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ASE CE OFFICE
6"
' BUILD IN I Cw O S FICE
t:C1TY OF C•U TI
(XV 1961
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To
You are hereby.authorized.to connect the GAS rvi-e`for 4 O a
Owner or Tenant .. ....... 'y / '�"
At.....0 .7.:�...... P t`.' ...
.... ........... ...........
New Service :�
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� 'No. of Meters ... ------ :. Reconnect
.. Move Service ........................
No. of Add1Meters .............. Move Meter .........................
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......
PLUMBING. INSPECT0R
110 1/60-500j ' � ,