1347 PEPPE,P - ne-15.1F LOT NO.
NO. STREETAD _
GSN FOR GAS PERMIT
• OF CUPERTINO •- -
R0�UN 16 1
•„• _ Date : ' «•. 195_, PermkNo:�r,+t ." '49
-:CITY 'OF':CUPERTINO Fee $ A
t, N Application is hereby made to the City of Cupertino for peermmit to install gas pipes''
•� .;
and/or gas appliances as listed on the reyefse�ssidre h eof a-rfd agrees to install said pipe.
b ..'and/or apphances;'in accordance�wrth the;provisions•of the°Plumbmgn(Eae,of the-6ity>',I',
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.of Cupertino and all-other laws apphcable;thereto4. z. r •• -,.
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By PirAPY ,0, ddress p
.- CONTRACTOR, AGENT �� �� <
i` one CW-6 k/// I. ' Approved
I - Q PLUMBING INSPECTO
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