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1025 ' .I l,`.( _.JC1L.`ts'1:: •�CJY LOT NO. Yl3 No. STREET ra©t x315 APP`LICATION :FOR APPLIANCE PERMIT CITY OF CUPERTINO Date 1WI62 196..... Permit No. Fee $� Applicatiog is hereby made to'the City of Cupertino for a permit to install Cgas appliances as listed on the reverse side hereof, and agrees to install said !' appliances in accordance with the provisions of therPlumbing rode of the City of Cupertino, and all other laws applicable thereto. ' a`Y Use of Premises S:or,,� .":Owner E Addres§MPLUMBING SAN �ARIOS SHEET MET— L WVKKS-ha 770 AddresARLOS AGP.NT SAIPhoneApprove 4' '!,.•` . "v'I� n 8 G7 (11 G1 p�WI G1 R a: --------- ---- ---- v ---------- R�J I I ^