308 LM NO. #1 A)
No. sneer Idlewild Greens
ITY OF CUPERTINO
INOV 7 (y�
Date 11X19603� 19<..... Permit No. t+
CITY OF CUPERTINO Fee $__�
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 Res ,
Owner Rousseau Org. _ Address n
sA CA0 C CHFFr T META Wrlg��C,__ Address rap ileo
- /;6,; 779 OLD COUFf' 'IM a". A68N
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