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1701V I • ji NO. I&Sffl6MVA ?ge) MA'�k?ILLIjg*TI .:FOR GAS CITY OF CUPERTINO PERMIT I. Date @PTY2 Q:r 16WPERTIMP Permit No. - 1701. 1�1 0.0 •.. QFee $ L-12- Application 2Application 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. 1 v' � v aUse of Premises �n .Owner2x&� .o/ ',"�. Address k'fC' �22F,fdi �u�'c C) Z mm I PO