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"�/ ` 'APPLICATION• FOR .GAS PERMIT
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4• ' Fee
' ° Application is hereby made to the City of Cupertino for n permit to install gas pipes
o r and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
> and/or appliances in accordance with the provisions of the Plumbing Code of the City
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of Cupertino, and all other laws applicable thereto.
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By �r4�z vda- �iLr.h Addresses
O CONTRACTOR, AGENT ��
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Phone 57/",2
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�/'t' PLUM87NG INSPECTOR
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' E•LECTRIC .SERVICE NOTICE-
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BUILDING INSPE.CTOR'S OFFICE
CITY •OF CUPERTINO
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Yom hereby authorized to connect the ELEC IC sery e fgt�r
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iwrier /orr Tenant ... .. ..C�..�:f... (!........� .._....._......... .._......
At .�if...��..L_7-..._..�/' .l.._..��1..... ...........
l No. of Wires .ti?............. Size of Wires '. ..-.... Size of Switch -4
MotorLoad .......................... Voltage .. ----.----..-- --.......---- Phase--..................................
Heating Load K. W- ----------------- ---....-------.. Voltage ---...._.....---......_-----
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1 Light ............_I70 �� A�tw Service ....... Reconnect ....._.........
No. of Meters ....�............. Hent ._...........220 .../�muee Wire ...Mout Service ..........
No. of Add Meters .......z. power _..........._ '['r ha. T!move Meter ............
/ .......... ..... ..................................
--�ECTRICAL INSPECTOR
104 7/61.500