2073 �T IC� V • V�.VCCi[KI.iB au'�T NO. Js
�pN FOR. GAS PERMIT
P
Nov s 62 OF CUP ERTINO
�s
Date Oct. 31'" 1 195_ PermitnNo.
CIT R CURKIINU
Fee :
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
8
use ofPremises Reeldenre
7 Owner Deep Cliffe Dev, Co. Address —Ave.
By 1 wirtfi:y , L'd Address
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