705 46 • 7 0 �+ �`� LOT NO.
J CAglpWQ APPLIANCE PERMIT
Li OF CUPERTINO
DatvITVNi.i_. (1a Gr QT�nTn 196..... Permit No.�
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p 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.
:7 Use of Premises u
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Owner `S _ Address
By DIVISION Aaare55
H EATI N&ATEdtSbh,A 9A6-00.
Pl:o11� E. SUNNYOANS AVE., CAMPBELL, CAL Approved
PLUMBING INSPECTOR
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