433 LOT NO.
21 5 JO. STREET_ l rte/
P CA41ON FOR GAS PERMIT
OF CUPERTINO
Dat 195_ Permit No.
. Fee $
_ •_ CATp�icaQF islpQD$6&TJK&e City of Cupertino for a permit to install gas pipes
^^ 'and%orgas 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 ,
J of Cupertino, and all other laws applicable thereto. I,
v;,•,.Use of Premises '
m�dress '44i
gy,W. L..HICK EY.SONS 1 i-Address
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