1097 LOT NO. 43
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it1 � JJ®v a T Tract #3248
APPLICATION FOR APPLIANCE PERMIT
1JAIU 14 1963 �I Y OF CUPERTINO ;
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Dai eti..1 9�, 3 �.I u�n�rnv, 196..... Permit No. 09
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NApplication is hereby madato the City of Cupertino for a permit tamstall
0 gas appliances as listed on the reverse side,hereof, and agrees to install said
r-1 appliances in accordance with the provisions of the Plumbing .ode of the City
of Cupertino, and all other laws,applicable thereto.
Use of Premises Res. ?!
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Owner Camino Del Homes . Address' tl
SAN CARLOS SHEET METAL WORKS, GU (or i
Address
�p AGENT
Phone A�I�Slc(° ' " RPYA Approved r
PLUMBING INSPa O
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