2092 (2) 9`—Q Q"No.
NO. STrI�F�
N APPPLLU TION FOR GAS PERMIT
o" IQj1+ OF CUPERTINO
r If 19 1962
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3 a Date LTV `//err p�RT Nn196— Permit No. �7
U �f'I ` 'O" r'�tS 'Sii'1' �f 'f rerS_ JAZ
° Thcat is ht=r y a<e o he City of Cupertino fora permit to install gas pipes
o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
im and/or appliances in accordance with the provisions of the Plumbing Code of the City
< w of Cupertino, and all to laws appli ble thereto.
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w Use of Premises
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3 Owner Address
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State License, /
Approv d �
—U CONTRACTOR, AcrN
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O11710E
COPY
�O GAS SERVICE NOTICE
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
II �_
...... . ......----. .._ 9...... ._ ......... 196S..
To
You are hereby auth >'Zeddtoocconne/cct the GAS segr'�i.,cee for
Owner or Tenant .... ---- ...
At _ ..... . G - -......._...... .....
New Service ._� ---.-__----
No. of Meters .---rxtg-.......-... Reconnect --------------._....__...
Move Service
No. of Add. Meters ----... ..... Move Meter ------------------........
sem ----- ----
TIO 7/61-500 --
PLUMBING INSPECTOR
es