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475 (2) l. l l.O4'I 1'k 1 t1 �� ±j-- LOT NO. Aq NO. STRBB r• APPLICATION FOR APPLIANCE PERMIT _ CITY OF CUPERTINO Date API a1 Permit No.� trf APR 2119611 Fee a ,3° Application is hereby made to the City of Cupertino for a permit to install gas appliancp5 �- to n t lq��4� �(�p(areof, and agrees to install said appliances i rda wt L e roviswns of the Plumbing rode of the City of Cupertino, and all otherlawsapplicable thereto. Use of Pr ises 6��j ri (�V/u k Ownt,' NjKJ'O.,t,tai Address By DIVT"ION Address__ 2 «yLj/ HEATINGcSNM.''c4olk'EW44EO. �� Yf;TBEk�I1NNY0AKS AVE. CPMP^P' Approve ' PLUMBING INSPBCr R (l � E n w N C F 0a c ------ - ----- -- --- - - - N F A ° o. C 3 O O rt A __