1099 LOT NO. 45
NO. STREET 'TractOW #3248
APPLICATION FOR APPLIANCE PERMIT_
�� CI1Y;OF CUPERTINO
��r"JAN 14" 1963Q
Due 1/9/63 146..... Permit No. / cl /
co CITY 0'= "'DERPIK IFee : 7 ! .
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a) Application is hereby made-to the City of Cupertigo for a perXnit to install
rt gas appliances.as listed on the reverse side hereof. and agrees to install slid - s
i appliances in accordance with the provisions of the Plumbing r••ode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises Re s.
i Owner Camino Del Homes P' 0 B 6
SAN CARLOS SHEET METAL WORK , — Address
pn–gL3F Address u e
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PLUMBING MSP
Remarks (Check
Type of Appliance I Units Fees II New 1 Replace Relocate
Gas Ranges II
Wall Heaters j I lj
i
Gas Plates
Circulating Heaters j 1 II
Blower Furnaces 1.5011 . x t
Gas Fired Boilers
Warming Ovens
Percolators
Griddles 1 1 O
Steam Tables ` —
Gravity Furnaces 1 l_;". I !, '
Sttspended 'Unita
Floor Furnace
I II I
Miscellaneous I ii
�NAMF. TYPP� j I
Fee 12.0011 I
U 1 3.2 II
as ut. I 1 of I "
pp lance •ees
Inspected and Appro'vedO ' . .L.-
oere .N