172011
Tract #3442
LOT NO. 54
No. TM Oak Dell Ranch
v I R APPLIANCE PERMIT
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MAY 12 1964 W OF CUPERTINO
Date 5/8/64 196..... Permit
CITY OF CUPERT'W:%
No.
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Fee S /0 5
Application is hereby made to 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 code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises_ Res.
Due & Elliot
San Carhna Sheet Metal VJorks
779 Old County Road CONTRACTOR, AGENT
San CarlAOft f "iA [a -9l —Pk0c�
in
Address1408 N. Winchester
AddressSa Ose
Approve _ _
PLUMBING INSPECTOR
of Appliance I Units Fees
Gas
Inspected and Approved .I.'.... J. % ............ ............
DA 1 INSPECTOR