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486 �r LOT NO, No MEET . 2.2 48 APPLICATION FOR GAS PERMIT L — T� 01 CUPERTINO ^) Date r I� Permit No. - Fee �j �n Ap6fftyn Qs Fre fiWTt1N©ty 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-pipm. 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 s. ;> OwnerL, Hlc"KF 50A"_S. "'cr� L / Address( BY—. P. 0. aux 578 Address a' �ueetgrn ec uA}I2GR i Approved Phone _ I . ' - PLUMBING INSPECTOR . �. r.,.. W1 n y G) �v DQ K w � o ^ n w rt p. n --------------------- y — z ro -------------------- N. - T -�