378 a44::�k �y- LOT NO.
NO. SnEZT
APPLICATION FOR APPLIANCE PERMIT
�ZjOF CUPERTINO QQ
Dates-- J 196..2 PermitNo.
O 3 6
Fee S
C gic �s e City of Cupertino for a permit to install
gas appliances as IisEenhe"reber�e side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, andall other laws applicable thereto.
Use of Premises
Address -g-
gy Address -
\ CONT ALTO `Acervr
r Phone Y - T �
A' rove
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