774v
VM
9S I pza [ 6` Com- . LOT NO: l
NO. STREET
APPA FOR APPLIANCE PERMIT
® OF CUPERTINO
DatAPR 11 1962%
r 19G..... Permit No.7__
/ c 0
(�� (�''IIpp TTII�(`� FeeE lh
CATXIicaNdri�is`RNdb�atlf'tb`fhe City of Cupertino for a permit to install
,!gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing code of the City
of Cupertino, and all other laws applicable thereto.
Use of
H SHEET METAL, INC.
_ Address
22313 MEEKLAND AVENUE
Ad
r �—O�✓ Addreess
s
710
CONTRACTOR, AGENT HAYWARD,
Q -3 L o o Approved
PLUMBING INSPECTOR
s
d
w
7
d
O
"+f
N