2090�T NO.
NO. STREET _
XPPPLfCA,TION FOR GAS PERMIT
VNOV
���I OCUPERTINO 19 1962 c
Date 19d' Permit No. (:9—u
S?
Pers_ �;3
Ap lTi 9"0norerC).)t 4' cTiN@ity of Cupertino for a permit to install gas pipes
and/or gas appliances as listee 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 allAher laws apgcable thereto. /
Use of
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