287 (2) _ 11
C07 NO. J
NO. STR00T. �
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5 e5 ' '"APPLICA[ION FOR GAS PERMIT
CITY OF CUPERTINO
Date
C O `" Permit No.� 6:2
�
JAPR 101959 D Fee S
0 Application is hereby made to the City o upertino for a permit to,install gas pipes
and/or gas ap } j ed he reverse side hereof, and agrees to Install said pipes
- and/or applia1Mdslill,actbFda. ITnsions of the Plumbing Code of the City
. .of Cupertino, and all other laws applicable thereto.
i ~ BLOWER FURNACE
Use of Premises BETTERO
HEMES
IDLEWILD TR #2156
Owner SAN CARLOS SHEET. tAd-dF0v- WKS-
, -� ,,7 9 OLD.COU.NTYI""' gA CARLOS •
E. BY c..:,. Address
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CON TRACTOR', AGENT
•(`
'Phone 1 I Approved�JJ
PLU4BING INSPECTOR
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