495 LOT NO.
FP6NICj4{TQ,�ANR APPLIANCE PERMIT) b , +�' OF CUPERTINO
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..go W% i 196..._. Permit No.
WWI III
Fee$
Application is herebi made t#the City of Cupettm�oAfor a p¢rmlt to install
gas appliances as listed on the reverse side hereof, and a;-7tov-cl n d ,..�,� `
appliances in accordance with the provisions of the Plumbing c'.ode-of the CC00' 0"
of Cuperting, and all other laws applicable thereto.
bt
Use of Premise's
�n . Owner • _ - :'�� isw .' " RING.-HEATING COMPANY
Address
SU ri LE, CALIFORNIA
••Add
-J' '"CONTRACTOR, AGENT _
PI6ne 1 e
Appiov _
- �...� PLUMBING INSP R�
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Remarks (fGh ck
Type of Appliance I Units Fees IhNew Replace."'Rel t
Gas Ranges
Gas Plates
Circulating Heaters
Blower Furnaces 1� ��— _•
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Stil Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
('NAME TYPE)-,
1
pp lance ees —, • IIff "
Inspected and Approved
DATP. ,OR
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