NO PERMIT NUMBER (5) SnEET
' PPLIICATION FOR GAS PERMIT
CITY OF CUPERTINO
• � . r. I�F,Y e..
Date "' y 1960 195_ Permit No.
Fee $
Applicatlon'is hereby made to the-City oPCupertino foP a perrhT'To tinstall gas ipes
and/oi,g`as appliaikes'ts listed.on the reverse s l hereok 'and'agr`ee�'tp falltgald•pipts*
+ . ./—and/or appliances in accordance,with theRsovlsions bf the Plumbing Code of the-City,
/ of Cupertino, and all other laws�'applli etherefo.
"'Use of Premises I "rr11Y1 I L 1 C(C
Cn Owner + _ Address
JOE AMARAU PLUMBING,
ByTh! AtAh% Address
3390 SANTSIoea.WiV AtS}rMIA
vA
Phone Approved__
PLUMBING INSPEe70R
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