2532 ac)(.g0 I Q"d� OT NO. Cly
NO. m u STPE VV
IIAPPL CATION FOR GAS PERMIT
` CITY OF CUPERTINO
x o AUG 21 1963
0 ' Date 1 /q 196 Permit No.
C ITY OF
LL I Per$
0 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
i and/or appliances in accordance with the provisions of the Plumbing Code of the City
< w of Cupertino, and all other laws applicable thereto.
J LL Use of Premises
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0 CONTRACTOR,AGENT
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