593 c- :')C 9 i ° PEPPERTREE TT,AAtE"i LOT NO.—=�
NO. STREET _
e Ag �.CAj 1()R APPLIANCE PERMIT
CI bF.CUPERTINO
OST, D 19.61:: . .,
Date t96.".". Permit No. _
CITY OF CUPERTINO Fres FO
Application is hereby made to the City of Cupertino for a permit to install
CQ gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance wit}iithe,;provisions of the Plumbing bode of the City
of Cupertino, and all other Law .applicable thereto.
Use of Premises reside
C1Ce
C"n Owner COMMO1`T;7-AVTH `HLDRg `_' "Address r'AMPRFLL
`SO ByG Cc: F11 i ® Address
pj 1 y. IIP47C cON AACT] nose
f 4 Z'r=^.:r:�" Appro
�e, ve
's Phonerh-[E -}iE -en+•4f" }
PLUMPING INSPECTOR
. Remarks (Chedc ✓)
Type of Appliance ]6nits.qFees•II New, I,Replace I Relocate
Gas Ranges I •' I -
\�/all Heaters I I . II I I
Gas Plates' I I II i I 7
Circulating• eaters
Blower .;'narnaces - I �j I I X I I
Gas-Fired Boilers
W.2finmgpOvens I II I
Percolators - I �_ SIS' ".'.•`
Griddles
Steam Tables.. I : I'f I%� q§, "r's r ,. •,,
Gravity Furnaces 1—11 AL!,—7-- �?t.,;,.tltikiaii�•
Suspended Uni 1111I II —T�
Floor Furnace I
I I
Miscellaneous = . n
NAME TYPE) .I
I . I II I
I I II I —
I 'I•�i II I
L. IP11 h—
PP lance Fees - I pie/ ........... .`..?.....
INS
Inspected and Approved ��.�r. -
PECTOR
I`fF{ly?li
GAS SER_V•ICE'N_ OTI, °OPYE
JA'
BUILDING INSPECTOR'S. 00fI
CITY OF CUPERTINO,w,.
� .
........... -
° ------------- 1961
To .•.f '
You are hereby autho-I ed.to connect the GAS service for
I' Owner or Tenant ......i- -/rii?if222��4!�. cr✓C'-CL -..�..: %'�f�f!a,
:r' ....... ...............:................
i
. :. .
{s
New Service ................:.. .....;
'y
. No. of Meters :• ................... ,� Reconnect ..............................
F .
. :. J• . ,. Move Service .......... .............
.• No. of Add. Meters............... - -;: Move Meter .......... ..............
L BING`INSPEC'TOR
10 /60.300
.�s. :..._..._ ', i _ ,:. 'mac: •: ,kr