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NO. i�
N FOR GAS PERMIT
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z ffAPR
OF CUPERTINO
o 4 1966 �-
°196— Permit No./J�
3 0 CkTY Q� `�hfd f BallWI Fee 8 e
° plica i n is b ad t e City of Cupertino for a permit to install gas pipes
o and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
= m and/or appliances in accordance with the provisions of the Plumbing Code of the City
w of Cupertino, and all other laws applicable t ereto.
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Address
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Approved (/ /
LUA51RG INSPECTORI/
of Appliance I Units Fees
F. TYPE
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Testedand Approved-------._..............r-..........._.........._......----..._..--
DATE