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1763
NO. STREET _ © !GA ION FOR GAS PERMIT C t F CUPERTINO Date '' jUN 8 9962 P26 -L-- Permit No. ' RT �(� p0 ' U. F" df 6 ttfe Fee $ CITY tion is her' �ma i Cit of Cu ertino•for a permit to install as pipes. PP Y Y P P, g P Pe and/or'gas appliancesas listed on the reverse side hereof; and agrees to install said pipes and/or appliances ih"iccordance with the, provisions of. the Plumbing Code of the City . of Cupertino, and�all other laws applicable thereto. v. a = Use of Premises,Ghn,.J'r 3 77.1-77.1-7;p.,.rn . Owner - —� � ..urs �A'ddress-14, CJDii�erQ _ _ 5g' W AddressoTO r CONTRACTOR, AGENT A .. Phone S -. L U pproved • PLUMBING INSPECTO ff Q M M 9 N ro "v z c� K m v 7 A A •a