1988LOT NO.�_�_
PERMIT A
Date,% ' 194(!Z- Permit No. /
O
Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas 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
of Cupertino, and all other laws applicable thereto.
Use of Premises Pe �--lze �G '
Owner
By d
CONTRACTOR, AGENT �
Phone f/ C
Address
Address J
Approve % `�
PLUMBING INSPECTOR I
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