771.4 LOT NO.
NO. STREET
APPLIANCE PERMIT
UPERTINO
DatefA Permit No. 77Z
CITY OF Cl
Application is hereby
gas appliances as listed on
appliances in accorda6ce'
of'Cupertino, ind_ali-*ot9(
Use of
No Fee S L-11
hetCity of Cupeitino. for a permit to install 'r
eside hereof,, and'a'grees to install said !
4�1
fovisions of the Plumbing bode of the City
Aicable thereto.
SI 'f'T,METAL, INC.
22 W6
2 CONTRACTOR, AGEN-P
3 Approve
PLUMBING INSPECTOR
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