435 LOT�ANOA.
NO. 08T i .. :✓ vr � ��J
z 1 Cj .r2 PP (CATION FOR- GAS PEWIT
CITY OF CUPERTINO
Date 93_ Permit No.
l _ APR 29 959 Fee $ . JrD
!{ l Ap lication is hereb m d t e City of Cupertino for a permit to install gas pipes:',
aYap@ranCGU� �t reverse side hereof, and agrees to install said pipes'
t- and/or appliances in accordance with the provisions of the Plumbing Code of the City
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of Cupertino, and all other laws applicable thereto. ,
t,
l Use of Premises
.Owne1/ i - ,�/tr»(pAddress� C9��i/Jl��I-L
gy .tt471t'r� t4yd. i- LAddress
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GP. 0.°ack,578, 'is.j5 Approved
Phone •' n
i-.I�•1 :� unnyval O, Calif. PLUM NG INSPOGTOR "
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