986 'LOT NO. -
No. STR
W
y, LAN FQR APPLIANCE PERMIT
1. t i •A AFI Y OF 6 PERTINO
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s t�V h �` t C! _
OCT 91962 Date 196----- Permit-No.
} a . Fee S
AppGnhon is hereby-made tolhe City bf Cupertino for a permit to install .'
taet
_XSAs fisted on the reverse slde'.herenf Ind-agrees to instal said.' '
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0.abdal( other laws applicaf}erGity
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vi Owner a4LILzau-aC _ dress 411SIE
By eAGN Ad& tAddress
HEATING & SHEETIJE Ao GRNr
180 EphonavnAwc AVF PAMPRFl 1 CALIF_ ApprovePLUMBING
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Remark, „"CFi ak ,✓e;..
Type of Appliance I Units Pees II ;New Rgpl Relixate
Gas Ranges
\4'all Heaters Uo
Gas Plates �� y
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
S?snded Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
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r
pp lance fices A '
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Inspected and Approve (. (� -.;. ....
D P � INSPP._GTOR�