1610 LOT NO B
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�APPLIC/STIO FpR APPLIANCE PERMIT
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JAN -10 1964 , ITy OF C/UPERTINO
Date - ,.19G.'�`' Permit No.� 0 _
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Fee Sdhp �
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 rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
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�i Owner Addr
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CONTRACTOR, AG T
Phone7yU� _/ d Approve
PLUMBING INSPECTOR
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/f ® NOTIGEEOF ��{�y�DITIONAL CHARGE
APR 2 1q�jf[ITY�r CUPBRTINO
��}/ �} p pRQ[I -DIfff��KSPFCTOR'S OFFICE
Date .... 1 -- �F.. liUf 1ER�:.I t 195.4-_ Permit No ---- J610.................
l�l�il�ll�I Bldg. B-6
To Atlaw
Address ...10700 North Blaney Ave., Greenwood Ct. Aj*te.
.. .. .. ..
Reason X1.,50-appliancefee per unit (2t Ton) for
_..... _ . . ............
Air_Conditioners ( 4 Unite per Building)
........................................ ...... ..._.. ...... -.............._. ........_......... ..._.
Amount$ .F,.�..... Si_ned,.._r';,"&.:...
106 3/59-300 -...___._......