935 , .." •i r "LOT NO.
,4„y ^NO: STREET
APPLICATION FOR GAS PERMIT
CITY OF CUPERTINO
_ 93S
Date_ - 195 �- ` -Permit No.
r CITY OF CUPERTINO
..^,-------”--
_.Application is hereby made tothe City,of Cupertino_for�a permitao.iristall,gas pipes '
t._._ �..____o :.�
and/or gas appliances aslisted.on.thereverse side hereof, and agrees toInstall-said pipes "
and/or appliances in-accordance'with the-provisions of;the Plumbing Code_lof..the City-
of Cupertino, and all other laws applicable thereto. �' • '
Use of Premises
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in Owner /JGL/SScG/% - Address -By_/f GOBI j�/L//91fi• - 'Address
/ CONTRACTOR, AGANT
Phone �!7- . - GAG% - i Approved 'V;90n .f'
PLUMBING INSPACTOR
to ll Cp1. Ew t.
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