2183 (2) aDICJ // �/__// 1.ce LOT NO. 3 _
NO. STREEE
VQZ PLI&TION FOR GAS PERMIT
CITY OF CUPERTINO
FIB 2J 1963 .°�' 3
Date L'1'. Pk.4/I V .2/ 190. Permit No.�O _ _�_
a CITY GE CUPERTINO Fee $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions a lumbm Code of the City
Q of Cupertino, and all other laws applicable thereto. ��—°'
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