985 ID �� LOT NO.
No. F'@ Tf3 AOR APPLIANCE PERMIT
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'+ 1952 OF CUPERTINO ;
Date + _ 196-... Perm
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:$ .. ....+ u Fee$
; _Appltcatiqj9eimadetothe City of Cupertino for a permit td illStal{
a" a Aid on the reverse side hereof,andigRees to install said
117 ail;Wk ce vAth the provisions of the Plumbing r',ode of thrFrtyME
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an
d all other- alaws allimble th
AA ;.0
0 °P PP
01 Use of Premises pp
in Owner Address
By DN ,O Address
HEATING & SH& NVAJ*bi;VQ ENr
180 fpl IYQAKS AVE., CAMPBELL, CALIF. Apptov
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1,, INSPE
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Remarks'(1Check .JN) ._
Type of Appliance I Units Fees II Nev '; R place I Relocate
Gas Ranges I h " A
\K/all Fleaters 8 16.Uo I *J "
Gas Plates I II I
Cir�iiOt'i,ng Heaters I I
Blower'.Furnaces
Gas Flred. Boilers
am g Ovens
Percola ors�y h
Griddles
Steam Tables
Gravity Furnaces I 1 I r
Suspended Unit-- yj _
Floor Furnace
Miscellanmus I
(NAME. TYPE) I I
I I�
ees uo
Inslance pected and Approve ' L. . 10 .. .' �` �-•-••..-..
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pA E INSPECTOTOR
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