1155 (2) A ( (-FA I tl S �K�Nii�t>` LOT NO.� `a
NO. STREET Baywood Terr•
Tract 3150
10 cola APPLIAPICE 'PERMIT
OF CUPERTINO
MR 111963
Date 3 8 63 19G..._. Permit No. S�
'CITY OF. CUKRTINO Fee00
N Application is hereby made to the City of.Cupertino for a perm4 o�lTsta 1 Q
o gas appliances as,listed on the'reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
,of.Cupertino,-and all other laws applicable thereto.
u '
Use of Premises
Res .
8
0 Owner Camino Del Homes AddressP 0 Box 6
SAN CAI OS SHEET METAL WORKS, INC. _ 1 Cu r in
�$fj}Nt�� ���ncc ,�G[gp�'�QQ5� - Address
SWOC R1"+Y'2'"�`�°gU � AGENT I �- Approved
roved
q ^� ; I I PLUMBING INS CTOR
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