801 1.. C)c"'--'1 cJ vVt_I, tM .� 4Q_ LOT NO.1
NO. STREET
APR APLIANCE PERMIT
CITY IJPERTINO
AY 11 1962 ;
Date for 1-'� Permit No. Joel
C TYF:CF, CUPERTINO Pee s D-°
Application is he-r'ey'maduto the City of Cupertino for a permit to install
WWW %r.^':nt i• :61:�...:': �.
gas appliances as listed do the %verse'side.hereof, and agrees to install said
appliances in icco $a -vq
nce �jNi-Rhe:piovlsions of the Plumbing .ode of the City
I,...y,he , .. ia
Of.Cupertino, and,allygfhel!IpwiiijPlicable thereto.
u � ••tea s .!
Use of remises AP.ARTNtE7Cf sr<� _ r
v� Owner BHIt IP RAPAtOW INC, . ` - 1. .,Address ''^ ea.-�Q�
R1a ,Address 20 blame
CONTRACTOR,•AGENT.�I- y.�
K04.�:�S 7—fE 6_o=* Approved
Sr•�'�.iFy ,_ - 'T£ e i , , + i i PLUMbING INSPECTOR
'�9 S n n Ci '�' N Z O w rt.T+ •'Oy
d
an
O
_ n n
{ — w
•4uo z -- v "mF� _ _
n n