1193 (2) LOT NO. ' 63
NO. _= �aTaer r� . Baywood Terrace
APPLICATION FOR APPLIANCE PERMIT
APR 15 7963 CITY OF CUPERTINO (�
Date rjymlf�196...._ Permit No.
co Fee $
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Application is hereby made to the City of Cupertino for a permit to install
O gas appliances as listed on the reverse side hereof,rand agrees to install said
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ri appliances in,accordance with the provisions of the Plumbing 17o'de of the City
of Cupertino, and all othei laws applicable thereto.
Use OfPremises.Rea
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Owner Camino Del Homes _ Address P 01 Bo ''/3 _
BAN AR S SHEET METAL WORKS, INC. APLUMBI
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