17680..4. a% -y 1ItAO O Y1Fj -LOT NO./O
NO. MEET1p -
�' �� ISA ION FOR GAS PERMIT
COF CUPERTINO
JUN 8 1962 1769
Date 195_, Permit No.
CITY OF CUPERTINO
Application is hereby made to.the
and/or gas appliances as listed on the
and/or appliances in accordance with
of Cupertino, and all othec,laws appli,
2
Use of Premises �
AGENT
So Fee $ S
Cupertino for a permit to install gas pipes,
i&hereof, and agrees to install said pipes
iisions of the Plumbing Code of the City
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