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1530 2U/ 9� / L/!'LC r/rErE� L/I/YL LOT NO: / T Am ® I FOR GAS PERMIT !' JAN 2 5 1 62fig CUPERTINO .A t. 2f. Y TAu/iA/T Date "1 19p� —ap Permit No. ' C, CITY; OF; CUPERTINO loo Fee $— i j .:. Application is,hereby made to the City of Cupertino for a permit tc`install gas pipes If grid/orgas'.appliances as listed on the reverse side hereof, and agrees to install said pipes" and%oi'appliances in accordance with the provisions of the Plumbing Code of the City V0of CupeiFn6 and,all other laws applicable thereto. HiffU,y�VNiLrN .84412. Address BY Address Z. CONTRACTOR, AGP.NT I I �Chone':. �`"F. G1:1 Approved �:,,, u ,_.• PLUMBING INSPECTOR 1 , -' ^. n z ? .e ztip Oo UO rn n y b'o UQ A Q t.r 1 f4 PI '(C 'J''.I 4 f1 b t to — —————— — — i : — ' N - 'lr A A t � .,^..� _ � .1.--�---- i'�,.. F. t,•`: n :gin