661 (2) Imo/ ND I &0.it- �.�-a-a-`/-C;�e' • LOT NO. ZLl
NO. 5
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AP �i'Iglc ;& I LIANCE PERMIT
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ERTINO
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Date DEC 2 8 1961 19G----- Permit No.--
U I Y OF
o.UTYOF CUPFee ERTINO
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Application is hereby made.to.the City of Cupertino for a permit t6 install
"gas appliances as listed ou'the�ieveise side hereof, and agrees to install said;'
. Fri• T �i: +, .. !•
'F appliances in accordance;:dritli the:provisions of the Plumbing bode 6Vthi.City
of Cupertino, and all otheiild
, ids'applicable thereto.
Use of Premises_ /Lca.��
Owner l✓e bio Address .°.
Address �V
lia TRACTOR AGENT; _ —
Hf ,jg & SHEET METAL CO. 'Approve -
'•180 E. SUNNY ,- rLUMa1NG INSPecro
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