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925 (2) /L' •l , I ��If' l.�U.iiC�rJ' i��i� LOT NO. /f NO. STREET APPL�IIC TION' FOR APPLIANCE PERMIT CITY CUPERTINO_, .f AUG 3 0 9992 U � ^� .� (� Date 196.:... Permit No. _ 4� S�CITY OF CUPERTII�C� Fee s Application is hereby made to the City of Cupertino for a permit to Install � ! gas appliances as listed On the reverse side hereof, and agrees to install said a appliances in accordance with the provisions,of the Plumbing rode of the City \D of Cupertino, and all other laws applica 4herettoo.. Use of Pr 05 sp �2 iOwner ' n e.' ./"L.7°rl'v;iG;::Address �.- By, ;;;Address.57 niCONTRACTOR nceNr r Pt:olieN " `k?. Approve � 4 011GP $• s .. PLUMBING INSPECTOR n y C _ O w" � N � R 0 -----------;:. --------. . A