1073/ r -r/ill 1/ /� / x LOT NO.
NO. STREET 1. .
A PLI -AYIOIdaOR' APPLIANCE PERMIT
CITY OF CUPERTINO
WIDEC 17 1962.
Date / --� %2 , 196-..%� Permit No. / Q74
CITY C' CUPERTINO
0C
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 /:ode of the City
of Cupertino, and all other laws applicable thereto.
Use of
POWER I �.
-. - AL10D
a
'r1