10432,�—,
I ' LOT NO.
NO. HHT
APA--ff'ATIOPIt FOR APPLIANCE PERMIT
N ov 2 7 1962' QP CUPERTINO
Date N (111 I R i 4F • 196..... Permit No.
l o
CITY Sr, ':UPERTINO ^ \:l] Pee $ Do
Application is hereby made to theo(*4 nli fora permit to install
gas appliances as listed on the rev r i re (,'10rets to install said
appliances in accordance wi{ & Plumbing rode of the City
of Cupertino, and all o s e thereto.
Use of Premises .�•�-C-aGc-u�e-
Owner �e ° L� �" '' _ Address
UIVINVII
HE fTPlfi & SHEET MFTAI CO Address
180 E. SUNNYOAKS AVE.LEA roved
Phone PP
PL WISING 11111 O
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