1089 (2) LOT NO.
ET
k'Nc, � s PPLICATION FOR "S PERMIT r : • ..
� CITY OF CUPERTINO
r ^ RUNO
�i).,. !Y 9 1966' 195_ Permit No.��� ;
. ,c .• ---- Fee S_/
Application is hereby`made to the Cityof Cupertino for a.,permit to install gas pipes
...and/or-gas appliances is listed on the reverse side hereof, and agrees to install said pipes .
"Ind/of appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
'Use of Premises /►�� 1i L 11 :N C E
Owner �� Addresslsd
BADE AMARAL PLUMDOING, I
Addre
ss
3889TIMMA4 IA
Phone SANTA CLARA. Approve
-F PLUMBING INSPECTOR
rtz G) t9
rr zip
Eii
is
oi z ---------------
- T
z
n