775 (2) LOT NO.
NO. STREET
n AAPPLIANCE PERMIT
Vp CUPERTINO
Date APR 13 1962 Permit No. 77c§-
CITY OF CUPERTINO Fee a G
App(cation is hereby made to the City of Cupertino for a permit to install
I gas appliances as listed on the reverse side hereof, and agrees to install said
V� appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other ap licable thereto.
Use of Premises _
RO H SHEET ME-4TAL, INC'
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CONTRACTOR, AGENT
Phone, 2 — 3 y_��_ Approve
e PLUMBING INSPECTOR
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