677 4YE
No. ME
AT2 FOR APPLIANCE PERMIT
® OF CUPERTINO
`; 196..... Permit No.
ids Vl�1kr�1n1�1Y Fee f�
CITAVppI tion o the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing .ode of the City
of Cupertino, End I other laws applicable thereto.
Use o r ices
r7i Owner - ' Addres"PLUMBING
gy Addres
oE,>eoeNr
l Plwne Approv
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