524 \` A-1,111d Lw r LOT NO.
NO. STRRPT
p P� APtOR APPLIANCE PERMIT
:tt��---��bb�� G OF CUPERTINO
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t Dat ( UL 2
196----- Permit No.Fee 2
01pis��1,tERTINO City permit s s�
Hca re made to the Ci of Cupertino for to install
gas appliances as listed on the reverse side hereof, and agrees to install slid
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other 1wg s applicable thereto.
Use of Premi.
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OwaP• 1.Address / 7
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