257 I q ! (0 6 I m G 22 I I I - " LOT NO. 131
NO. S KET idlewild
' B®CRi O I OR APPLIAMCE PERM6
{ &ry OF CUPERTINO
SEP 211960 4.3�J '
Date 9/ 60 196..... Permit No.
CITY OF CUPERTINO Fee S 1
^�y+ Application is hereby made to the City of Cupertino for a permit to install
I4 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 Res .
1/6'ifTi
u
Owner Rousseau _ Address
SAN CARLR}5 SHEET METAL WORKS, INC. Addr Qt 1 - S
779 OLD COUNrNI"o"It, AGBNr A ro ed ,
SAFJ1axRLos f p uEa NIA PP
`,L, z�•f PLUMBING INSP , OR
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