780 . LOT NO.
NO. STREET
APPIq�1T OR APPLIANCE PERMIT
® q OF CUPERTINO
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Date - P 1 3 196L 196..... Permit No.__71f_b_
Q���/f (�(���� }J f RT No Fee S
atiQf is hQf�6f 98 �6 tF�e City of Cupertino for a permit to install
gas appliances zs listed on tfie.reverse side hereof, and agreej.s.to install said
appliances;in a�mtdance with,the provisions of.theAumbilig .ode of the City
of Cupertino and`all.otherlaws'a llcable thereto
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Use of PremisesT< r`
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in Own {` ' ^y .�-x-.w+ _ Addiess �+
223lVMEEKLAND AVENUt '- - _
TcoNritecioa ceNr HAYWARD, C .I , ' P'•A
K • Knne� ,(tJ ay Y'O o ' Approved
.Y •:', ', 1 - - 1 PLUMBING INSPECTOR
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