1209 03 LOT NO. 6 y
NO. STRBET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date ..5- j , 1963 Permit No.
h Fee E . Sod
Application is hereby made to the City of Cupertino for a permit to install
V 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
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