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1341 (2) PFPPF/f //LEE LOT NO. -� NO.® I STREET NsFOR GAS PERMIT OF;`CUPERTINO �.� Date - ,''195_ , Permit No. y CITY Of CUPERTINO Fee$'` -4'—�- A lication is hereby made to the Cit of Cu ertino for a erh it to install_ as pipes: V PP �_ Y Y_ P P g P . and•/or,gas appliances,as;listed'on the reverse side"hereof, an --agrees to'install,said pipes �:and%or:appliances,in ccordanie-with the;provisionis—of_the Plumbing Code of'the Cty.F 3offCupe%l no;ind.all.othi:raaws;apphcable,theretor. 7 - n�Ly -yy��a �+� ,. .ay a, x .�--yv'--'��`tf4+.. w tl�:. 4•,.i. se-of Pre —/Q1 S•/ONNGCi': % 'ri �' Owrier CQMM4"",L-ACTH BLa.PI. _ Address iI < • �1x'.:�iiAo'r:dL%�iNAiiyG ".,Amim Address- r CONTRACTOR, AGRNT / t Y Phone' _ ApprovedLIhJ 1, PLUMBING INSPP.CTOR ' d( j'i:p .y: -: d ,� . .rt.�� .n p• G w0. � � dm G�N u j� '-^ O Iia i`_ .'• �• rt rt A A i/ -� .F.• - 1