1329 LOT NO 170
NO. �, •rntEE1' , Idlewild
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APPLIANCE
PdWV086
Date oz's 7��9�fi�3�nrn-r•�•,, 196------ Permit No.
I1 U7 1i�, Cly / 7_S
co { Fee E 6C
o Application is hereby made to the City of Cupertino for a permit to install
listed on the reverse side hereof, and agrees to install said
,..t gas appliances as
appliances in accordance with the provisions of the Plumbing code of the City
of Cupertino, and all other laws applicable thereto.
Use of PremisesRAg.
" Cupertino Prop. Ltd X82 Ma ket St.
SAOCARRMftEET-METAc WeRIF6�IFsl� — Addr
7g$ OLD COUNTY ROAD Addr
SAN CARLOS, Cdtldfi�RNbA, AGENT
Phone L 1-260 Approve
,oma PL ING INSPECTOR
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