1448 (2) C7-/-/-=��LA c eL E 44 xt.i - LOT NO.
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V APPLICAT FOR GAS PERMIT{
SEP 2 6 196101 F CUPERTINO
•;k?i- Date SEP 1 .Permit%No.''
A, �` ' .' ` . ; 3 Fee $• '• "'
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-tom A Application is hereby made to the Cltyiof Cup �arperml 'nstaall ga5�plpes3'ir3
_/or,gasiuppliances as listed_on the reverse side hereof andw grit es to install said pipes
r wand or a llances.m.accordance'with the'`iovisig!N of=the Plumbin Code of the Cit *,^
r ' of Cu rhno and',all;other laws''a (cable thereto ''f
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hh � yUse of Premises-^�'`^"/
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.OwnetYC�PLG.�Y NO%t%M�''"S't'�"""'Addres •r`'m Qr�f '_Ph1
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_ �/ Jg' y. CONTRACTOR, AGENT 4'i
Zer it1'A•1'°T'
s ph .• - I Approve
A _ - PLUMBING INSPRCT'` :�
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