430LOT NO.
2 1 5L,%5 APPLICATION FOR GAS PERMIT
r CITY OF CUPERTINO
Date — 95_ Permit No.
`7`(l
• APR 2'9 1959 Fee $
' Ap lication is,hereby made:to the.City of Cupertino fora permit to install gas pipes'••
andDVW aGFan jreverse side.hereof; and agrees to install said pipes
and/or appliances,iwaccor Ue with the provisions of the Plumbing Code of the City-
of Cupertino, and all other laws applicable thereto.
v
Use of, Premises
`/ X-0,",
� Ownec��.s`i1�C�b, .UDi��S-ate Address��!`�LGvI�//.moi
ByVti t �r_ _. •... -' _ i ._.Address
CONTRACTOR} ACP.NT
P• G..cox+S7 i Approved
Phone 6 I PP .
i obi j 41 i i ; I' ; : PLUMHL.
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