449 . LOT NO. ___.....
// APPLICATIO.&FOR GAS, PERMIT
OF CUPERTINO
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Djai
ate I� — Permit No.
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1 Fee $
-,App ia�71�,p,�-cT�',�„-�,y,!�r� of Cupertino for a permit to install gas pipes
�:.yand/oi g �liarKfs'as4fStVEkf rse side hereof-and-agrees toJnstall said•pipes.;-
X `v:a: and% appliancesiin:accordanc,d,ith`the provisions of-the Plumbing Code of-the City , .r
'of Cupertino, and all other.laws�aPplicable thereto.
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Use of.Premises
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n . Owners //�/J• /� !Address
iK.gy '--Address
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'r•Ph'. I ; "1'• 0. Box 5Y6� ' I'Appioved` 1
lets.' i,r.; 1. 1 ?unnyva e, uau I I 'PLUMBING INSPECTOR V
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