511 (2) m �� PEPPERTREE LANE LOT No. 2
NO. STREET -
I FOR APPLIANCE, PERMIT
ii � OF C%UPERTINO
Dee `�`7='t"�F� 196......1,-,- Permit No. �=
CITY ��. CUPERTINO
FeeZ =• 5C -
1' Application is hereby made to the City of Cupertino for a permit to install
C gas-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
of Cupertino, and all other laws applicable thereto.
Use of Premises residence
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r7 Owner COMMONWEALTH ELDR3" AddressC *"P L
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PL0ri SHEE`a7 t .fig 60. ', Address
1305-VIM" eCONTR'ACTOR,t;.i4
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"GAS SERVICE-NOTICE , OFFICE f COPYopy
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BUILDING INSPECTOR S''OPI ICL 47. '
�• 'f CITY OF CUPERTINO
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` You are-hn
ereby authozed to conned the-GAS sen ice for A
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Owner or IT. nant
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p At • .. ............... �. .
7 i3"x: r
1 in. .x fJ
Y New Service
Meters :../,: ------': Reconnect + r t ,
Move Service
No. of Add. Meters - Move Meter ................._..._..
........... .................................
r PLUMBING INSPECTOR
.
o•• °1.;01/60=500