465 (2) 20940 I Pepper Tree Lane LOT No. ' 15 ,
ff,APR,l
L1� PORAPPLIANCE PERMIT
p 1961 CITY OF CUPERTINO
Date 4/18%61 196..... ,. Permit No._q
CITY OF CUPERTINO'
N s.,• Fee $ '
N 'Application`is hereby made to the City of Cupertino for a permit to install
gas appliances is listed on the reverse side hereof, and agrees to install said
appliaii efYnjt` rlapce with the provisions of the Plumbing rode of the City
of"Cupeitino, and.all other laws applicable thereto. ,
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Residence
i Usanf_Premises
CommonwetBuilders Address
., w Owner alh iT3g1!2e.3.b.Cr ;
P109 Sheet Metal CAM
Address r Jose
y CONTRACTOR AGENT !' le
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PhoneFr 8-0934 Approved C t.
la ' PLUMBING INSPECTOR
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