1127 (2) LOT NO.NO
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APPLICATION FOR APPLIANCE PERMIT
JPN 7 � �3COF CUPERTINO
Date_ 12 //V/ L9GzZ. Permit No._LLQ2�_
CITY C°= '. I E t N) Pee , m
AApplication is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof• and agrees to install said
appliances in accordance with the provisions of the Plumbing bode of the City
VY of Cupertino, and all other laws applicable thereto.
5
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