113COT NO. 77,
- r—
NO.
CAPPhtC'AnTJONR APPLIANCE PERMIT
LF
OF CUPERTINO 112Date MAR 2 2 1960 196----- Permit No. i /1
CITY OF CUPERTINO Fees ZsU
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 dt�-�
U
M;
Type, of Appliance MMlyni Replace I Relocate
Gas Ranges W, Ails
wall�Aeaters".I! 11MMIMMA" T— I
Gas Plates
Circulating Heaters
Blower Furnaces
,,Gas Fired Boilers I yell
Warming Ovens Id
deqj!ators
ij,qhkrdl�s
Stei tI II
y Fgr—naces -T -111-
n e" Unit,Floor�j
'Furnace 1I
II
Miicellaneous
(NAME TYPE)
pp �,ance V�-e—es—
Inspected and Approved --: .........
INSPECTOR
• �% GAS'.SERVIC. • TI�� r ,. orFlcs
Y% � +�_ COPY
O=
;.,• r BUILDING INSPECT1S OFFICE-.d••
' CITY'OF CUPS FN; g
>- 4
3'
To
You are hereby autho�ed to conned the GASse e for,..
Owni r.or Tenant ............. fl; � c!'1 •V .
v- . ......... ...........
. .
j.
Y
New Service .......... ,
No.of Meiers ...:...Z..........'... s; Reconnecf L..
.... v:-E:t---':. -
.. Move. Service ._..' .......----
,INo. of Add. Meters .:...,, f•, Move Me
tor
I
j ,....' .
11 i•: ,
;✓PLUMBING INSPECTOR T
3 110 6/59-500