703 oy OIoI �_ LOT NO. 13
NO.
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t &' IiION FOR APPLOANCE PERMIT
Mf FEB 8 1962 CITY OF CUPERTINO
Date l y 3 0 1962 196..... Permit No. 7o 3
U-1-Y UF CUPERTINO $ se
O 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
Owner L�'� /'mow _ Address
By DIVISION Address
T&A A
Phone 190 F' SUNNVO^KC aVF., CA��1°^"' Approved
LUMa1NG INSPBCrOa
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