1770I t) .Q L f�J �rV1`Q LT No. /0
NO. SIRBETyy - _
AXPU LICA ?�N FOR GAS PERMIT `
C OF CUPERTINO
rI[rI jO 8 1962
Date 195_,a Permit No. ' 7,7
CITY OF CUPERTINO:' Fee $ �
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. .
Use of Premises
_4,y�j '—OOTL
7.•� 7
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