989 LOT No. 12-
NO 5 BB Ba`ywood Terrac
1p,ICATIO APPLIANCE PERMITt 3150
OCT 11 1962 C F CUPERTINO
Date A910/,62
ofTJ.0v�G��+�ltip6..... Permit No.
U ec
Fee S _
CID N Application is hereby made to the City of Cupertino for a permit t install
co gas appliances as listed on the reverse side hereof• and agrees to'install slid
H appliances in accordance with the provisions of the'°Plumbing-riode f,� the City
of Cupertino, and all other laws applicable thereto.
Use of Premises Ras.
v
SKN &KR6S SR*49TANOI.srBiQ� Address'P 0 Bol[
B 79 OLD COUNTY ROAD Address C 8 O'
pµ SAN CARLOSFdN49If®Rt�IIAGBNr _
!.p P1.Ime 7{y 1-2605 Approved
PLUMBING INSPB
Rema.
a .iii
fees New, I ReplacedRelocateince 'I "'i
Type of Appli Units,
Gas Ranges
WallHeaters
Gas,—Piateslmotm ii
Circulaung�Hcaters 'I Iffj-�Jj
-Blow,, Furnaces JX,I Vk, I X
—G-as—Fired Boilers - 1 -31211j 11 mom df
a7r�minO-en�STORI—1111 QU�-_1w
_�K _g_
Percolators I 1;w, il— —7--mmir—
Griddles VITMEIP"
Steam Tables
Gr— avity.Furnaces I -A,
-19Ep—ended Unit—j-,"I I
Floor Furnace
Miscellaneous
(NAME TYPE) 1 SII
1 2 00
Outlets
pp Bance Fees
Inspected and Approved J.... . ........ . .........................
DATE INSPECTOR
9. E�
OFFICE
Cepy
GAS SERVITICE
BUILDING INSPR'S4 OFFICE
CITY PF CUP.ERTI
t! .... ..... ....._._...._......., 196..7..
To
You are hereby aut d to connsct the G rv'
Owneror Tenant ---- ------ --- .. ..... ..- .....__. ....__..----........__.....
I_ s
^: New Service _!
No. of Meters - - ------------- ;� Reconnect ----------------------------
Move Service
I
No. of Add. Meters --------------
Move Meter ------..._._------._...
`-------- :...........
P UMBING INSPECTOR
.110 7/61-500