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@l OR GAS PERMIT
JV�A
C UPERTINO
Date MAY 1 962 I Permit No. "
CITY C, CUPERTINO Pee $ _
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 of the Plumbing Code of the City
of Cupertino, and all othhejr! laws applicable thereto. ry2)
Use of PremiseU s c q^ 1 \ 0 ca civ
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By k 21 W. "Clu- . 1/vK-61 1 Address \,—l^IS I
1 CONTRACTOR, AGENT
Phoned S �•—S% (� _ Approved
LUM ING INSPECTOR
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