1193 LOT NO. ' 63
NO. _= �aTaer r� . Baywood Terrace
APPLICATION FOR APPLIANCE PERMIT
APR 15 7963 CITY OF CUPERTINO (�
Date rjymlf�196...._ Permit No.
co Fee $
co
Application is hereby made to the City of Cupertino for a permit to install
O gas appliances as listed on the reverse side hereof,rand agrees to install said
r-I
ri appliances in,accordance with the provisions of the Plumbing 17o'de of the City
of Cupertino, and all othei laws applicable thereto.
Use OfPremises.Rea
i
Owner Camino Del Homes _ Address P 01 Bo ''/3 _
BAN AR S SHEET METAL WORKS, INC. APLUMBI
t n
Addressf�
nnBNW V
to 1 �® p� i' Approve
y N NSPBC
vm oxn ^ w o G' wIP^ H
G
nmay^ r .x
0g o
OQ
n
a
--------------------
m !�
-----------
-----— E
------ ----bf'