688'G.OoI V t C Ks �U"v(C
�OT NO #9:
No. SiR HT \ Idlewild #288C
'fGAW*NjqR APPLIANCE PERMIT
_1FEB 7 1962 OP CUPERTINO C��B
Date 2,/xap 196..... Permit No.
CITY 4F. CIIPERTINO pee $ I n
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 slid
appliances in accordance with the provisions of the Plumbing bode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises Res
Owner Rousseau Org. _ Address 582 ar et St.
SAN CAR��S SHEET METAL WORKS, INC. Address _is
CO
7 OLD COU[?jj�T AGENT -
�✓�— SIoRLOS, CALIFORNIA Approved___
. C�.. PLUNRINGiNSPE OR
Type of Appliance I Units Fees II
Remarks (Check ✓1
New Replace Relocate
Gas Ranges
Will Heaters
Gas Plates
Circulating Heaters
Blower Furnaces j•
�� X
Gas Fired Boilers
�)
Warming Ovens
IF
Percolators
Griddles
SteamTabij
II
Furnaces -
Gravity �—
Su—dndit
Floor Furnace
_
Miscellaneous
.(NAME TYPE) I
I�
I
pp lance •ees 0
In�pccted and Approved .................:........................ ....... ........
........
DATE INSPECTOR