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1298 (2) • C) �-1 I 1 0- UZ 1`-S S LOT NO. � 0 ® "L DVION FOR GAS PERMIT . APR 101961 TY OF CUPERTINO Date �— 1961 Permit No. CITY OF CUPERT Fee 2. Application is hereby made to the City of Cupertino fora permit to install gas pipes and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes (n and/or appliances in accordance with the provisions of the Plumbing Code of the City "C of Cupertino, and all other laws applicable thereto. Use of Premises Jai^ wP t 17i Owne ! D Address _— By 2 Address 1tj °`6,1 CONTRACTOR, AGENT Phone V& *)— 3417,2APProve-T ` PLUMBING INSPECTOR t I ^ x C ,�� /'"� O � '/fp7 'a G rw�a 7 y� `� � O °�+ rTi � N � '•dA N b w o 1 � E