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" APPLIeATIO FOR GAS PERMIT
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,.1963 Permit N
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= O Application is hereby made to the City of Cupertino for a permit to install gas pipes
`o and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
'zN and/or appliances in accordance with the provisions of the Plumbing Code of the City
a W of Cuperting, and all other laws applicable thereto.
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= By ' CONTRACCOR,AGENT y
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oState License /G ` / I Approved
-(A PLUMBING INSPECTOR
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