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1258 (2) WSJ G 1 P?,/) , tOT NO.__ NO. 86 F PLCATION FOR APPLIANCE PERMIT JUN/ 3 1963 CmOF CUPERTINO Date 6 196.`3 Permit No.� CITY Uf CUPERTIM Fee : J 6 0 Application is hereby made to the City of Cupertino for a permit to install gas appliances as listed on the reverse side hereof, and agrees to install said appliances in accordance with the provisions of the Plumbing f:ode of the City y of Cupertino, and all other laws applicable thereto. 2 Use of Premises r7i Owner 220 — Address BYE f" Addres CO a. AGaNT Phon P. G(/z/ Approve PLuwuNG �N9PlOTOa v � n 0 n n _ o --- ------------- - ------- ---- -————— ———————— Z �G� v n o P