1998 I � / / v! �' - "^'�`J — `� GOT NO. -
o. E T
tli,
ON FOR 6A5 PERMIT
AUG 3 0p1962 OF CUPERTINO
Date0"� AC" , 190— Permit No. 2�
CITY Or CUPERTINO, Fee $ ,? ;
�n Application is hereby made to the City of Cupertino for a permit to install-gas'Pip s
and/or gas appliances as listed on the reverse side hereof• and agrees'to•install said pipes
lr and/or appliances in accordance with the provisions of the Plumbing Code'of the City
of.Cupertino, and all other laws applicable thereto. �.
� I:
Use of Premise c
in Owner •K-'-"^ Address
B Address
CONTRACTOR, AGENT
Phone7 'K71 Approved
PLUMBING INSPECTOR
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9 19+1 1
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A T ;
. .OFFICE
GAS SVIC NOTICE COPY
ER
BUILDING INSPE O11'S OFFICE
CITY OF CUPERT�O-' ,
..............
:`
----/t=./ ......... ......__, 196 .
To
You are hereby auth iz5612
Ownert�connect the G erv'
or Tenant ..... .. ' .
�y
tvy y �r 141 4 • . New Service ................. .....
No. of Meters ..4r.:.....:.. .:... Reconnect ..............................
Move Service .......................
No. of Add. Meters •i.., 'f.. d's ove Mete .---._..........----....
t700
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