939 /O✓ /�J P`-/;�`'CN / �j�/�I LOT NO. �o '
STREET
�► P
ION FOR GAS PERMIT
T OF CUPERTINO
Dat?—MAR 1 960 �,. 195._ Permit No.
R MO
I . Fee $
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k' hOF CUPLcation is hereby made to the City of Cupertino for a permit to install gas pipes it
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 �L(/�/'
Cn Owner _ Address
By ��GCI�` 71� Address
�,,!! CONTRACTOR; AG
e
Phon / 7— Glo/a/ Approved tizr
PLUMBING INSPECTOR
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