518 (2) M O S 1 I PFppFRTR�T' `1 AIV�i . LOT NO. 9
NO. 5
A PPLIANCE PERMIT
JUL 2 UPERTINO .
Date 7-1 R—FT 196..... . Permit No.
CITY OF CUPERTINO Fee $ 1 - 50
',,,,Application is hereby made to the City of Cupertino for a permit to install
.,.,a,•-0<Oqgas"appliances as listed on the reverse side hereof, and agrees to install said
-appliances in accordance with the provisions of the Plumbing rode of the City
y of Cupertino, and all other laws applicable thereto.
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, Use of Premises Y`PB1dariCe
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1etPi T. RT. Address e
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130 S. %i'I'
Address
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�Poell, California Approved
IV PLUMBING IN5PBCfOR
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GAS° SERVICE '.NOTICE OHICE
COPY
BUILDING„INSPECTOR'S OFFICE
CITY OF CUPERTINO,
To
You are hereby autho 'zed to connect the GAS service for
Owner or Tenant, �.��721. . . .
V ................
.
..New Service :..y
No. of Meters ----�./.....:J: .. Reconnect ..
Move Service ...
No. of Add. Meters ...:°...:. Move Meter .........................
.............." -----
°Y+ PLUMBING INSPECTOR,
110 1/60-500 �•,,~�'a ay-aa +�- �.,�t °*