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O . LOT NO.
. - NO. J 1 STRRRT_ -
i PPLIC, T1 N FOR -GAS PERMIT
CITY OF CUPERTINO
O t
Date 95_ Permit No.
+MAY 7 1959 , so
Fee
t� $
I ati n is h/+ereb made to the City of Cupertino for a.permit to.install gas pipesi
t'• �ande�p fa a nLgj �stRTmo reverse side.hereof, and agrees,to,install said pipes;
tordarice with the ,provisions•of the Plumbing�Code.of the
and/or appliances.in,ac _
of Cupertino, and all other laws applicable thereto.
Use of Premises_ x 13
�//� .
. y
niM1, .Owner��zlz%' Address
} 1 By { i� r Kr=} 4 -C-.. -—Address
,( S ° { ••CONTMO
RAR AGEe'T �
•:Phone ! ! � .y_+. •:.,
Approved7z
CCT i• l: • 1 PLUMBING INSPECTOR
.i I, 1 I L'-r I 1 I .1 1
1
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