152LOT NO. -•_I -
NO. SET
Am V—i
®' PP151I ��j1: FOR APPLIANCE PERMIT
j MAY 16 1960 U • ITY OF CUPERTINO
Date 196..... '- -Permit No.
CITY OF CUPERTINO Feet � �o
Application is hereby made to the 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 (7ode of the City
of Cupertino, and all other laws applicable o.
Use of Premises
r7i . Owner u Address
By Adbk Address 4
CON TRACTOR, AGBNr I-' '-
Phone Approve _
. PLUMBING INSPHQOR
ME
G
ME