434 (2) •�YL-r%C�C�iCK J LOT NO. ' / I
2 15 P ATI`O'PI\FOR GAS PERMIT
V1 � C OF;CUPERTINO
_.I Date 5'= Permit No.
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QltT1itatiQ s 1W99T`XD City'of Cupertino for a-permit-to'instalLgas pipes a,
and/or gas appliances as listed•on.the reverse side hereof, and agrees to install,said pipes[i.v
,"'and/or appliances'jniaccordance'With.the provisions of the Plumbing,Code ofcthe.City,;
'of Cupertino, and all other laws applicable thereto.
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Useof.Premise
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CONTRACTOR) AGENT _
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Phone n �,, i I Approve,
Otln11p9,ILj Lt�rITTF PLUMBING INSPBCTO0.
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