297 (2) LOT NO,
NO.. STREET - _ -
2 APPLICATION FOR GAS PERMIT
CITY .OF CUPERTINO
0
Date ® 15-9 Permit No. '42 ,
APR 101999 Fee $ X'
ti is hereby made to the City of Cupertino fora permit to install gas pipes
Q and/btl f a!ap40ncesU�A&��p�q reverse side hereof, and agrees to install said pipes.-
and/or`appliances in actor an e the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises SLOWER FURNACE
a tk UUPLRIINCI HOPIE—S
IDLEWILD TR 1 2ISS'
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�n Owner SAnt CAn1 n� te14META44ress L
By ,779 OLD COUNT ';.AddrNsCARLOS r -
CONTRACTOR, AGENT
:Phone Approved'//v ;
:i PL GING,INSPECTOR
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S GA,S SERYICOTICE °o rE
BUILDING, INSPECPIJ011NO
S OFFICE
CITY OF CUP /
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You are hereby authorized to connect the G' service for
At
Owner or Tenant. ......�:j G�✓„/_. ,.tJ� ��..r./y!�}..........-
New.Service ............ ............ '.
. .No:of Meters ....:.....:.......... Reconnect ..............................
Move'Service ............ .......:
No. of Add. Meters Move Meter
_.
_... .........................................
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DUMBING INSPECTOR
.. Itn 6/59-500