Loading...
1348 pi�G I /�/An A •'• pw.l LOT NO. f NO. STREET a ,,r,,,, I ►T ON FOR APPLIANCE PERMIT CITY OF QUPERTINO '" ' AUG 7 1 03 Date � � py 196.� Permit No. /3 l~llFee E 6• �e 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 appliances in accordance with the provisions of the Plumbing rode of the City of Cupertino, and all other laws applicable thereto. u i Use of Premises e u ylp0 �G in Owner Address-1,°_..�._ /� By2 Address — r NTRACTOR; AGENT Phone 3 - y.�-�3 Approve PLUMBING WSPICTOR j ✓h y I Remarks (Che¢ke"✓1 Type of Appliance I Units Fees New I Replace IReloc�te Gas Ranges Iu.) Wall Heaters Gas Plates Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens _a I Percolators I �_ I' I`' < Griddles I °� ,�".— Steam Tables I ;4 Gravity Furnaces rS uspended Unit— II Floor Furnace I I Miscellaneous I g NAME TYPE) I I 71!4 I 'CO�e pp�ianm Fees I I (�. Via. Inspected and Appro'ved '.O' L�* � � �Jli`at;��""""" DATA INSPycTOR- �r y6`