1675Date APT, 6 Ur CUPERTAQi, permit
Application is hereby made to the City of Cupertino for
and/oragas appliances as listed on the reverse side hereof, an
and/or appliances in accordance with the provisions of the
of Cupertino, and all other laws applicable thereto.
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Use of Premises
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iA "Owner 41i �✓ J Q.f/
By p CO AC P.N'
Phone 6®4 % X5660 I i W;
No. 1675
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apetirmit to;in3tall gas pipes
d a greess,to,install}saidpioes
PluiobingCode.of the City
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to.
PLUMBINGIINSPECTOR
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