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551 (2) �/ p O 2 �O �LOT NO.� NO ET APPLIANCE PERMIT AUG c tyF CUPERTINO 11 Date 196.....E Permit No. CITY E CUPERTINO Fee a I '? 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 bode of the City of Cupertino, and all other laws applicable thereto. I �C Use of Pr ises_SG[ 17i Own �»r./-ave '& / Address LWAddress / TING & S,H....'�7AOa6NncENa i 4p}9pgt.: Approve PLUMBING INSPEi a m 3 . n 0 <' —————— ————————— —— n Ci r� z