1884 lV 7N _ COT NO. U
NO. S ePT
IIOOF CUPERTINO I:61t GAS PERMIT
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,�1 JUL 20 1962
Date , 195_ Permit No.
CITY OF CUPERTINO Fee $ s�
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
�. and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises ( '
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By Add ress ^�
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Phone_ �+� Approved PLUMBING INSPP
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