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NO PERMIT NUMBER
O r`V D I VJY�©'CZQJ C� u-PAUAQ _ LOT NO, O NO. STREET „ < APPLICATION FOR APPLIANCE PERMIT Z e ® CITY OF CUPERTINO KI ( Y O i Date 1 Permit No. ��/ 7 7 / MAY 191970 +1,. Fee $ 12. 75 r W Application is hereby made to the City of Cupertino for a permit to a tat/gslapPI, � Ilstendd''on the reverse side hereof, and agrees to N install said�lpplilnt�eHSn�aCSV9uance with the provisions of the Plumbing ' r Code of the Cit., of Cupertino, and all other laws applicable thereto. Use of Premises r 00 l Owner Address 0a J z By Pi hG SHEET METAL CO. Address J'O CSAM. _Tf-Af4n OL&LQROIZEIOFr. — m Phone-1 11 '.1 825 Wz WW a o State License Approved -0 PLUMBING INSPECTOR R " n o r �O y > n g �. a c A n � O O C — eQQO : b i i, Ir