114 I ,
'1�2 oxa /VW LOT NO.
NO. STREET - -
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APPLIC .oN FaORh PPLIANCE PERMIT
CITY OF?CUPERTINO
: MAP 25 9960
Date MAR 2 2 1960 196..... Permit No.�-` �
t4UPERTINO Fee
Application is hereby made to the City of Cupertino for a permit to install
`N, gas appliances as listed on the reverse side hereof, and agrees to install slid
V appliances in accordance with the provisions of the Plumbing rode of the City
�. of Cupertino, and all other laws applicable thereto.
Use of Premises cA,t-4 =
- 1A Owner Address '4
IIDIVISION Address
Y HEATINCk &I HRM15I iCO3 , a
PhJFN E. SUNNYOAKS'AVE, CAMPBELL, CA` A 644 I.GL"-Gli Ll•
y .r>, r PLUMBING INSPECTOR n1
Remarks (Check d)
".*ype of Appliance I Units Fees,II New. yliReplacelRelocate
Gasy�- ange4-s I SIL._ + :. '�''•.;.`
\Raab'Heaters II 'mar 1 t
,Gas Plates I
-Ci'r`culating`Heaters I Is • _I
Blower Furnaces
Gas Fired Boilers I
Warming Ovens I II I
Percolators I II -
Griddles I I I I
�-,*iSteanf�Tables I I
Gravity Furnaces
;Suspended Unit
Floor Furnace.• .•
" Miscellaneous ii I
k; (xAME TYPE) ,Ahr I
i 'ILI II I
pp ante Fees
[nspxected,and App o ed
DATE INSPECTOR
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