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LOT NO, NO. STREET N _ f � APPLIeA I N FOR GAS PERMIT w i VI OF CUPERTINO r a JAN 22 11963 0 - cs 1 Date �19Fi_ Permit..No. CITY w LL ©a=. L tK a . J' = o Pee$ Application is hereby made't 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 a and/or appliances in accordance with the provisions of the Plumbing Code of the City a w of Cupertino, and al her la�vs!'a)p cable, ereto., , w x �� r ...rv't�f., i •. y Yl,-q t Use of Premises , 00 oa , -O"er� Address ., Z J �/=iZUL Nf= Address r'Phone - SA/Y�o Sr ,t State License. a} 1 ^ -Approved •-! `�coNrx ALTO , AGENT y F _ t o o z T r•T Q• � r`.•, t 4t ( Nt vnF, ,n..r♦ LOT NO. � ee� Tyt �APPL-ICATION FOR APPLIANCE PERMIT JAN 22 1253 LY, CITY OF CUPERTINO Date {❑ 196..... Permit No. ' �3 CITY FeeE 00 rn Application is hereby made to the City of Cupertino for a permit to install gas appliances as listed on the reverse side hereof, and agrees to install said appliances in accordance with the provisions of the Plumbing r ode of the City of Cupertino, and all other laws applicable thereto. u r;+. �,++•' " .IkI:(se`of Premises 1 i•�?�uir4 Qwner � _ Address Al ( .Addres `. �/ 3'1 .��iK6E ;UK •.'•.Z�f f� C TRACTOR, AGENT , I' ��: °''t - �.�Ia/' i �Phone "� S 1 �14GG PP T' ,. _ A roved`• +,y^.• �y:�.�-PL'tIMa1NG;N5Pe OR o � <' n g m p