782 LOT NO. ^ /
NO. STREET 1
PATI R APPLIANCE PERMIT
F104-,
C F CUPERTINO
DateR 13 96 Permit No. 72-Z
eCpplicatioOF hCIJy maPEgTI o City of Cupertino for a e
permitall
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing ro& of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises 'eQ,,' '»
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