372 C�?QaS'+ L1 ede/v 1 . Ce LOT NO.
NO. - STRBBT
M APPLICATION FOR APPLIANCE PERMIT
1 CITY OF CUPERTINO
a
O Due 96..... Permit NO. 7 ^�
%P I DEC 13 1%0 LVJ Fee $ / I
ba Annhution is hereby made to the City of Cupertino for a permit to install
1 gas itX i*ceNIis%fAERT side hereof, and agrees to install said
t appliances in accordance with t e
of
of the Plumbing bode of the City
of Cupertino, and al her laws applicable thereto.
Use of r 'ses al
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(, (7ZOwner / s N_ Address '6
Yti'a BY y -6 s`'"v• asvi .Address �✓ ., ,/ (3-
CO RACTOR(�GENT
e��Phone �l�— ;7 0 Approv
PLUMBING INSPB
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