450�/ 1 . • NO.
NO: A aTa 8T•�,
PPLICATION FOR GAS PERMIT
CITY OF CUPERTINO
Date AJ Permit No:
1MAY=7::,1959 ' Fee
1P� C Application, is hereby .made to, the,City; of Cupertino for, a permit to install gas pipes,
and/ pli�{�es�S ��}}�ff �q verse sidehereof. andagrees to install said pipes,,,
and%orla� h nc�Ein'a�tbtH" e,provisions of the Plumbing Code of the City,
^• Q of Cu. Etino,and all'Other laws applicable thereto:
V ,
,{ Use of Premises
J "Owner�'� �>' :16,AZ Address��11lJiJ����
,I. gy _ - i -Address
CONT0.ACT00. AGEIST ��, �
Phone P. O. ;Box 67B Approved
'' i JZjYO By�!,0 0. B, Ii.�, ! PLUMBING INSPECTOR'
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