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• — �+ LOT NO.
NO. STRHP.T '
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date � 1 /Permit No.
1 M C
'APR 2 1 I96 Fee yT
Application is hereby made to the City of Cupertino for a permit to install
gas applialis n �g q�((�ereof, and agrees to install slid
appliances tri o",s ddce 4 t el�rbLlsibhs of the Plumbing bode of the City
of Cupertino, and all other laws applicable thereto.
Use of
a Owne" v 1 (/ (t n uw�
DIVISION
HEATING 8o6iiff3rdtET��rDO,
.�.��. SUNNYOANS AVE., CAMPBELL, CALIF.
Address_ _
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Approve � _
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