862 03 LOT NQ,_L
NO. gB Tract #288o
I ATI. PPLIANCE PERMIT
' ' JUL� 10 19*CUPERTINO
.Date Z CUpWI 6... Permit No. 96'V u .50
Fee S
00
N Application•is hereby made to the City of Cupertino for a permit to install
Gogas appliances as listed on the reverse side hereof, and agrees to install said
H appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
u
Use of Premises Res .
u
Owner Thomas Constr _ Address?59 Caa�1be11 Ave.
SAN A LOS SHEET METAL WORKS, ^an pbe ll
9 P&D COUNTY ROAD Addrese
N CARLOS. C R A4EN
Phone 14y 1- Approve
PLUMBING INSPRCrOR
Remarks (Check ✓)
Type of Appliance I Units Fees II New Replace I Rdocate
Gas"Ranges
Walt Heaters
Gas'Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens44 IT I.
Percolators
Griddles
Steam
Tables ��
Gravity Furnaces
Suspended Unit � � L__._
Floor Furnace
Miscellaneous
(NAME TYPO
! 1
ppee5 DATP. �N.
inspected
and Approved . .�.ZTF •� -•
SPBCTOR
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