1058 (2) .2 Q l J 0 I ) ^_41y z6U. LOT NO. 9
NO. STRRBT
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PaRL�t.GATIt 0 OR APPLIANCE PERMIT
271962 12Y OF CUPERTINO
Date 1 6 1962 a.
19G..... Permit No. ! _
o CITY. 0:= CUPERTINO Fee a m
\ 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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in Owner�7i -moo .�w. !�-a _ Address _
Address
HEATING & SHEETWEfAET80.ACRNr
180 E.(ibpp7F f.AMPBELL CALIF, Approved
T. . . I I . !.PLUMBING IN BGT R
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