473 LOT NO.
22 48
APPLICATION FOR GAS PERMIT
�. OF CUPERTINO
Date i Permit No.
MAY 16 IM LU11#
Fee $
Ap n �re�tr,Y,�.��'��„p,�} 6�7��(��rrrr..-','ty of Cupertino fora permit to install gas 'pipes
and/oriliacEs as`1HthdtHA4Merse 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.
Use of Premises
Address
w. L. MICKEY SONS, IN Address
B _
' Y CONTRA T R, AGENT 'S
Phone $°^eyvalq:_ aI1L Approve
1 i PLUMBING INSPECTOR y
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