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NO. , /S`MEET „L� �lGivi
�` � FORB,PPLB�e,NCE PEf�PABT
CITY OF CUPERTINO
� JUL 6 1960
Date 06.(). Permit No. e;?
CITY OF CUPERTINO Fee
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 slid
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
Owner`i��2iJr.C�/ `��'Ld ._ Address.�C� �..(' � G7
By San Carlos Sheet Metal Works Address
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9 , AGE
PhonCSan Carlos, California Approved
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