1615 a _�� - • LOT NO.
LV
FPPLICATION FPR APPLIANCE PERMIT
JAN .9 0 1964 a4 pr of CUPERTINO
1 Dates z(C-196.r Permit No. 45
• ", Fee S !�
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto''.
Use of Premises ' LLywC�a/
Owner Addrey� _
BY— Address.LTe-l— —
CONTRACTOR, AC r
Phone xv�__) Approved
PLUMBING INSPEC OR
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Date ...._ ........._ ,4,.F'�..(.'_..__.�..p.__.LN_, 19._L4 Permit No. ._-- 11615
To ....a l��j.-. ti. �`.TOMIiating ens.---..._..---Blag._.11s ..
Address .....3. B3anty 'Greenwood 7 t --Apto
Reason .Q}.,. .tj.-.ApP1.}FM040..foo3 por-; -'}'on Al-PConditionor
(4 Units ..... ...... _..............._.......-.-_........._...._. ................
.._..
_.. . ......................-_._....-.__.....
Amount$ ....6AXI. Signed--L.C....,- �.-.....'.1.
106 3/59-300