2629 1072o6 '/: -�%/1101 `�C r`L LOT NO. r= /
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APPLICATION FOR GAS PERMIT
Z i I t1 ��ITY OF CUPERTINO
NOV 8 1963
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3 , Date.'r — —tr{ � ' 19G � Permit No. /v �
I o V Pee$ Es . C5.0
Application is hereby made to the City of Cupertino for a permit to install gas pipes
o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
i and/or appliances in accordance with the provisions of the Plumbing Code of the City
a of Cupertino, and all other laws applicable thereto.
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0 0 771 Fe�myises-Y
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Address ��•.,/� ; /
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By J J /4✓� ✓N�'/
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O J CONTMCWGR, AGENT
3 w Phone
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i o State License �/.s�..� 2 Approved C / �t'a-1
U PLUMBING INSPECTOR
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GAS SERVICE. NOTICE 017FICE
BUILDING INSPECTOR'S OFFICE COPY
&J CITY OF CUPERTINI
To ...... ....... .. .. .......—)....1/.U.........._.....,' 196......
You are hereby auth riz d to connect the GA service for
Owner or Tenant ......... ....... ... ...
........ .. ..... ... ...... ........ .......-
At '4 t, 9.t
.. ............. .......
New Service
No. of Meters ........ Reconnect ................
Service ........ ............
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L
v
No. of Add. Meters ...... . 7
fove eter .......
.... ......... .... ...
4PLUMBING INSPEC R
Ito 6/63-500