1690 to DJ �� i� LS T/ 7
NO. ® R
® � CON FOR GAS PERMIT
J MAY 11 1962 OF CUPERTINO
Date APR 2, 6 1962 195_ Permit No.
CITY OF CUPERTINO
Fee
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Application is hereby made to the City of Cupertino for a permit to install gas.pipes:
Vo and/or gas appliances as listed on the reverse side hereof• and agrees to install said pipes-k
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 aeezt �
in Owner / Address
By r Addres �W
[ CONTRACTOR, 40P.Nr
:'i;Phone 'J' 5(e }, Approved
• I °' . MBING INSPECTOR
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