1451 LOT NO'
Wo. STREET
� Baywood Terr:
® P�.�IC�ifJi10 OR APPLIANCE PERMITTr• #3150
tel' SEP 10 1963 OF CUPERTINO
Date 1961. Permit No. /,4/ /
CITY OF CUPER11W, Fee s sci
N Application is hereby made to the City of Cupertino for a permit to install
Ogas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing bode of the City
of Cupertino, and all other laws applicable thereto.
yd
. Use of Premises_ Ra c .
49 Owner Camino Del Homes "" #'y^ Address P.O. Box 634 _
By Sin Carlos Sheet,Metal Wot ~Chin o
Address
AGENT e
t>7 Phone San'Carlos;California Approved
PLUMBING INSPECTOR
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