1096 (2) I '`p O . ,V�^i`••iJIL4 ll LOT NO. 42
No. aTay Tiaob x}3248.
QAPPLIC 'TIO,Nlj�,GR APPLIANCE PERMIT
�J J JAN 14 1953 OF CUPERTINO
Date 3//9/63 196...-- Permit No.�_
NIPERTINO Pees z, .
NAP
pl,cation is hereby made to the City of Cupertino for a permit to install'
gasluppliances as listed on the reverse side hereof, and agrees to install $zidi:.;'f%;- y i .'• "
appliances in accordance with the provisions of the Plumbing r',Gde ofi[!ie
of;Cupertino, and all other laws applicable thereto. 4f,.• „ :. „
Use of Premises
Gem2no D01 HQmO® Address
SA-CAR9h1EET'AIETAT-'V4,RICS�ie7ri— — ,•...`
D C or
Address
SAN CABlOS,16 ncBNr. A roved
Phone LY �A� PP
PLUMBING 1NSPB O
C) so 0 n Ll to !1 4) 6I C)ZIN
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