962 pC✓S/ -. I V1c�Vl.(�C:Jr/ LOT NO. 36._ —_ -
NO. T3��o0315offummRSIM
1A7� OR APPLIANCE PERMIT
C 7 OF CUPERTINO
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Date—9 /b2 196..... Permit No. �F6 -Z/
Fees
co .?PP11.11 i ,-14gel y,made to the City of Cupertino for a permit to install:';�
co
gas•applianc, arlifeed'on the reverse side hereof, and agrees to install said
O rse yl -,-�_-'�;�
rl appiiailce3,•i� cordancecvith the provisions of the Pliunbing .ode of the City `
i1 x4of Cii�tFeSiri4, and all'8t}rer:laws applicable thereto.
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i Uge pUreulises
-ane' —Samino Del Homes AdaressP Cox—balk— —_
Cupeuti o
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CONTRACTOR, AG9NT
'Phone e Approve
'i "SING INSPECTOk