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NO. STR
® N FOR GAS PERMIT
2 196`2 �b . I CUPERTINO
MAR 2 L //`�f7 '74
r� Date _ �'I — C� 195_ Permit No. s ?
CITY. OF, CUPERTIN Fees
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.
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