861 NO. '`_!Pract #2880
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N�PO PPLII PERMIT
t�f JUL 10 19F� �ERTINO
6/27/62 �
Date 196 Permit No._Q_S�_
WY OF UPERtINO� Pee :
NApplication.is hereby made to the City of Cupertino for a permit to install
0
O gas appliances as listed on the reverse side hereof, and agrees to install said
r-1 appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises Res ,
u
In Owner Thomas Constr _ Addres&2-59 Campbell Ave _
i5 Rl% 5 SHEET METAL WOR Cam b 11
Address P
AGENT
S .RLOS, _ A Approved
PLUMBING INSPECMR
Remarks (Check ✓)
Type of Appliance I Units Fees II New I Replace Relocate
Gas Ranges 1I i -
w 11 Heaters
Gas,Plates
Circulating Heaters
Blower Furnaces l ], 5dl X.
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables j
Gravity Furnaces
:Suspended Unit II
Floor Furnace
Miscellaneous _
(NAME TYPE)
�j I�
pp lance Eees _
Inspected and Approved . . .. .. . ......
DATP. INSPECTOR
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