694 LOT No.__415 .
NO. STREET ` Idlewild #288C
rWo R APPLIANCE PERMIT
f EB 7 x{962 IT'OF CUPERTINO
Date 2/5/62 , 196..... Permit No.
CITY OF CUPERTINO Fees r sa
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.
v
�C
Use of Premises Res .
u
Owner Rousseau erg. _ Address 582 M ket St.
-SAN SARL05 SHEET METAL WORKS, INCAddress AL1 _ C 19 CO
T9-01: .n ENr
/- PI& CARLOS, CALIFORNIA T -
Approv
��-r _ PLO4BING WSPEC
Remarks (Check ✓"1 't. 7
Type of Appliance I Units Fees,ll" 'New Replace �'Reloca`te -J
Gas Ranges L
Wa i Heaters
Gas Plates
Circulating Heaters N,
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
f Griddles
Steam Tables
Gravity Furnaces
'Suspended Unit _
Floor Furnace
Miscellaneous'
(NAME TYPO �-
tpp Iance •ees ected and Approved ?......... ........................
DATE. INSPECTOR
t
OFFICE
ff ropy
GAS SERVICE NQT,CE
BUILDING INSPECT'OR'S FFICE
CITY F CUPERTI O
------------------- ...... 196
To
You are hereby aut d t conne t GAS o f
Owner or Tenant ... .. . .. . .. .
At
New Service .. ..
No. of Meters ....:/ ............
. ........ Reconnect .. .. .... ..........
Move Service ........................
No. of Add. Meters -------------- Move Meter,..........................
-------------
PLUMBING INSPECTOR
110 7/61-500 ,