846 NO.. STR08T {, ,. 1
CATION 'FOR GA .PERMIT
-ITY OF CUPERTINO a
NO U 25 9 �"y
Date 1959 Permit No.
CITY Or CUPERTINO Fee s
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.
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Use of Premises
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By Add s�
• CON TOR, AGENT
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a��-P'7 Approved-
PLUMBING INSPECTOR
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