2721 LOT NO, Ll
NO. (�, STREET
N D/ APPLIC
AATION FOR GAS PERMIT
f ( ' °� P 1964 CITY OF CUPERTINO
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196 Permit No.
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F o Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
o w and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
i m and/or appliances in accordance with the provisions of the Plumbing Code of the City
a w of Cupertino, and all other laws a plicable thereto.
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