294 163t� i �o2L>1l LOT NO.#1 0
NO.,- STREET Idlewild Greens
® 4 FOR APPLIANCE PERMIT
e CITY OF CUPERTINO
irvov 7 (— `
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Date 16 _ 196..... Permit No.---
o.
CITY OF CUPERTINO Fee s-L �-.
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
p appliances in accordance with the provisions of the Plumbing bode of the City
of Cupertino, and all other laws applicable thereto.
Res .
Premises
/f7/"7d Owner Rousseau Org. _ Address m t St.
-'`"SAN CARLOS SHEET METAL WORKS, INC, �,. S F a is co
>z I Address
/-s6*�,Spon€ARLOS,. CALIFORNIA' t Approved
- , ; PLUMBING INSP.
4... t
4
r Remarks (Check ✓)
Type of.;Appliance l Units Feesjll"New I Replace I Relocate
Gas Ranges �;-• ��
Wall Heaters -.-F II I
Gas Plates I I II
Circulating Heaters
Blower Furnaces X
Gas Fired Boilers I `-
Warming Ovens I I I x•
Percolators�11 I:71"
Griddles
Steam Tables I rI'• ,,
Gravity utli ces
Suspended Unit I
Floor Furnace
I
Miscellaneous I iI
NAME TYPE
I I II I
I I II I
I I II I
I I II I
i I I 11 IT__
pp ante Fees I I II
Insp&ted and Approved ... ..... .. ...............
DATE. INSPECTOR