2274 LOT NO.
NO.— 's EET
N / . APPLICATION FOR GAS PERMIT
w i , CITY. OF CUPERTINO
x o MAY '! 9953 t_
3 a Date �_ `{ 1^+I 196 Permit No.
ILL ^, Ll `L'I WI JY��S.�� � •�1I\ Fee.$
o Application is hereby made to the City of Cupertino for a permit to install gas pipes
o` a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
im` and/or appliances In accordance with the provisions of the Plumbing Code of the City
a w of Cupertino, and all otherlawsapplicable thereto.
oo.. Use of Premises 7 VT/�/ / 1, 7/- /T
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