695'O SLOT NO. #31
No n a Idlewild #2880
VCATAPPLIANCE PERMIT
EB 7 1962 ��OF CUPERTINO
Date.—. . j1W-U .,—._.d96..... Permit No. �_
OF 1jurtKII-
Fee $ I '
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.
Useof Premises Res .
u
Rousseau Org.
In Owner _
j SAN
2� 779 OLD okd`.kS`'
°.ice Ph x tftF` EARl6$; C-,4L+FGR -1-T
_
Address_582—Market St.
r cisco
Address _
Approve
` PLUMBING INSP d�j
n °1" atrr'JTT
Type of Appliance IUnits Fees II
Remarks (Check ✓)
New ( Replace Relocate
Gas Ranges
Wall Heaters
�11
Gas Plates
Circulating Heaters
Blower Furnaces ��
_
Gas Fired Boilers
armingOvens
Percolators
Griddles
Tables
_Steam
~Gravity Furnaces .
•~Suspended Unit � �
I .—
Floor Furnace
Miscellaneous
(NAM£ TYP[)
pp jance ees .M
Inspected and Approve 9 ....•......
- p p INSPECTOR
i - OFFICE
COPY
-� GAS SERVICE NOTICE
BUILDING INSPECTOR'SFFICE '
CITY OF ,§,UPERTINq
.....
a9 ............ ......_...... I96�.
You are hereby a t orized to connect the Ase e f
.. Owner or Tenant ................................................... .......`......
At.... .......�..p.l_(....I.......... .. - ...
N rvice .......
No. of Meters --------- L.........:... Reconnect ..............................
Move Service ........................
No. of Add. Meters ............:. � Mo er ..------.....---........
..........A
........ .. .
BING INSPE T R
110 7/61-500 I