51181 (3)21451 1 EZlm Court
LOT NO. -
NO. STREET
��PP lG , w10 FOR APPLIANCE PERMIT
2-0 3) f FEB 21 1968 i;1CITY OF CUPERTINO
0 < Date 196— Permit No.
v nI Fee B/ -Q . S�
o C.TY Of C(I ffRTIPt( ae
Applica ion i hereby to the Citv-of Cupertino for a permit to
o install gas appliances as listed on the reverse side hereof, and agrees to
ia install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
Slies idence
LL Use of Premises
00
> 0 Owner Ditz-Crane Address
0 < PLOG SHEET METAL CO.,
Address
�.o fsy Ntkk a. A . 0. BOX 97)
3P
0 Phone . CAMPBELL, GALLIF. 956eu
W W
o STATE CONTRACTOR'S Approved
M State License
<
0
LICENSE "142642 PLUMBING INSPECTOR
Circul
of Appliances Units Fees 11 New
:d Boilers
Ovens
Furnaces
2, o
Appliance Fees