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NO. �`sa' •STRBHT � �XLGG• '" p��
2 1 5 5AT10N FOR GAS' PERMIT
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CITY OF CUPERTINO
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Date• ." — Permit No.
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11� �APR 2 91959 Fee $
f ry Application`is hereby made to the City of Cupertino for a permit to install gas pipes
•and%or'gas a'liances'as liste Q�{(LL�� 6verse side hereof, and agrees to install said pipes
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and/or,� l�n�0s Fti a p(� e�provisions of the Plumbing Code of the.City
�'t V of.Cupertino,•an d all:other laws applicable thereto. ,
Use of Premises '":"'' '^ �.'i•`
vS :Owner ��/i So Address...
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1 �gyN.•' L'tHI(I{CIrv,30ud�; i�_:�'� �, `Address '
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A QCONTR�IGTOR�TA111)` p
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Phone $anrayva: . $a. moi. .._
� •, , T � � JT t, � ' ; t � PLUMBING INSPECTOR-
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