1362 eRa ✓`0-.- LOT NO.
NO.
D
FOR GAS PERMIT
,jUL 20 'p�CIIt:
OF CUPERTINO
Date 2191
J _/ Permit No.
CITY OF C PERTINO Fee
ry
Application is hereby made to the City of Cupertino fora permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
V and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises r �atti
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