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2734 LOT NO. NO. "A .T A I TI FOR GAS PERMIT z - I CUPERTINO D f �IMAR 6 1964 1 yO _ i 30� Dare 14(/ Permit No. CP 3 x n Ifs Fee $�/i.Sf/J o Application is hereby made to the City of Cupertino for a permit to install gas pipes o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes iin and/or appliances in accordance with the provisions of the Plumbing Code of the City a w of Cupertino, and all other laws,applicable thereto. wx r r �. Use of Premises 00 > N r/// 0 3 Owne .� Address /1 ZJ z By 1/ ddress 0 "CONTRACTOR, AGENT' / 3 � m Phone. hl wz ao se State Licen �` �G Approved v PLUMBING W y.� 0..•c m - ^ w n C1 rt a a N ----------- b m n � n N R _ � E x w a � 3 _ —w w