2297 LOT NO e,� i/ •
APPLICATION .FOR GAS PERMIT'
N,AY 2 ? 1963 c ryr Or CUPrRTINO
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° a Date—•—•• �'.�h•�-h•�••., 196-3 Permit No. 6 ` I
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Fee $
Q Application is hereby made to the City of Cupertino for a permit to install gas pipes
o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
im and/or appliances in accordance with the provisions of the Plumbing Code of the City-
w of Cupertino, and all orb ws applicable thereto.
'o o Use of Premises �0o .
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On Addres Address
TR 'TOAAGENTTLLAM D. BENEVICe Licensr Approve 4{I PLUMBING INSPECTOR
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