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�f.1AYiP1l���4T FOR GAS
1 /EI O F CUPERTINO
if -'W�
LOT NO.
PERMIT
Date C 1 V R O �f ��G`pTiW— Permit No. L vl O
d. V
Fee $ a2
Application is hereby made to the City 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 pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
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