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R APPLIANCE PERMIT
OF CUPERTINO
Da / 196L)- Permit No. /,?/
Fee S A:�n
Application is hereby made to the City of Cupertino for a permit to install
c� gas appliances as listed on the reverse side hereof, and agrees to install said
_V appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
aUse of Premises
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Owner y���Y
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BySan Carlos Sheet Metal Works
779—old Courdy Toe, AGENT
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ELUMRING INSPECTOR
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