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2802 LOT NO. 1��1 APPLI4T TION FOR GAS PERMIT APR 27 1964 wj ITY Or CUPERTINO fo 05 ] dV 3 U I O Lht - 1 7Z Permit No. z , v / Pee S 0 Application is hereby made to the City of Cupertino for a permit to install gas pipes LLW 0 a and gas appliances as listed on the reverse side hereof, and agrees to install said pipes I- an / appliances in accordance with the provisions of the Plumbing Code of the City i t a W of Cupertino, and all other laws applicable thereto. w x F r w Use of Premises GG2� 00 0 3 Owner / �� AddressS'Oc'- o O•. s j z By ddress 3CONTRACTOR, AGENT / — m Fone �0 -3103 w z Y w w � aState License 7�-Z 9 i Approved _ 0 PLUMBING INSPECTOR O tz - o a a ro C a ° o � ->la z N. 0 a _ —w m W w n � ~ � N A