791 (2) LOT N0. 1
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P�j 1, N R 'APPLIANCE PERMIT
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CITY OF CUPERTINO
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Date` 9G..�°L.. Permit No;_�qq�.. �
Fee $
Applic;-ti':'is hereby made to,the City of Cupertino fora permit to install
gas appliances•as,listed on the reverse side hereof. and agrees to install said e '
appliances: p'accordance with the provisions of the Plumbing bode of the City
of Cupertino,:and all other laws applicable thereto.
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1 � Use of Premises
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Phone -967-399 Approved
PLUMBING INSPBCTOR
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