1126IN
17i
Datenpj %I: •, �r _ � . 1r19G.....
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PERMIT
Permit No.
J�
Pee $
Application is.hereby made to the City of Cupertino fora permit to install
gas appliances as listed on the reverse side hereof,,*,
, and"agreei to install siid.'
appliances in accordance with the provisions of'the Plumbing.r.ode of'the,City,,
�.,
of Cupertino, and all other laws applicable thereto. •f ,,' -- ,.F •�
Use of Premises,
Address
Address
'Approve
PLUMBING INBPB R '
01
C!
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