769 (2) �o�6a ®°�h� LOT NO. •76
No 9
L A T APPLIANCE PERMIT
APR 13 1..62 c t6
F,CUPERTINO
Date CITY OF 196.:... Permit No. 76 9
4 RTIIV0 Pees 0CID
Application is hereb made to the City of Cupertino for a permit to install
a listed on the reverse side hereof, and agrees to install said
gas appliances as`
appliances in'accordarice�'aith the provisions of the Plumbing bode of the City
of Cupertino, and all otherilaws applicable thereto.
Use of Premises v^,`:-_` ��;,,••
ROTH SHEET METAL pp,�C - --
� i Owne s 11Y Andress •'"
.22313 MEEKLAND AVENUEx
By l ' Address_
'f CONTRACT }AGENr HAYWARD, C .LI .,
PI•,Onr,'�`—GC-Y - .3 1;; O p Approved
PLUMBING INSPECTOR
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