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No. �!y 3n6 r
/ APPLIC GAS PERMIT
11 1962T� 6F CUPERTINO
Date APR 2.6 1962 1 Permit No. 1 Lq
V4111 VF CUPEHINV
Q Fee $ CP%.
Application is hereby made to the City of Cupertino fora permit to install gas pipes
and/or gas appliances as listed 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,'arid all other laws applicableaherefo:
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-Use ofPremises
in" OwnerThticOO2r.�;;'A'ddress%
PLUMBING
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