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1 ION FOR GAS PERMIT
SEP 13 1961 OF CUPERTINO
Date 195_ �. Permit No.
CITY OF CUPERTINO Fee $ 75
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 "er.laws applicable ther o.
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Cpx.0 h!din Savings and Lcan;'Assdci� �r
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113yx�Q 5�2� 2aay/�cee�w. '(- Address Ga rte, 1 7
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Phone:�t Qc.. —13SC- ' j i PP
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