871 x�af LOT NO. 5
No. LTCIT;3 Tract 2086
ATI I APPLIANCE PERMIT
JUL 10 1962CF CUPERTINO
Date 4szuPermit No. 7
00 Fee
Fee $
00 Application is hereby made to the City of Cupertino for a permit to install
0 gas appliances as listed on the reverse side hereof, and agrees to install said
ri appliances in accordance with the provisions of the Plumbing ''.ode of the City
of Cupertino, and all other laws applicable thereto.
c
u
Res .
Use of Premises
Owner Thomas Constr _ Addres,4?59 Campbell Ave.
SARLOSSHEET METAL W Campbell
7$XY eLB 69UNTv n r' Address
$pry CAR OS, CSfL , A, AGENT
SV
— Approve
U NG INSPICTOR
Remarks(Cher�;� ✓)
Type of Appliance I Units Fees II New IReplace Relocate
Gas Ranges 1 II
\Y/all Heaters II I I
Gas Plates
Circting Haters
ulae
Blower Furnaces
Gas Fired Boilers 1 1 II
Warming Ovens III
Percolators I h I
Griddles
F. Steam Tables , I
6r vity-furnaces
7STgF6dddjUnit 1 I
urnace
Miscellaneous
(NAMETYPE
I II I
-
____
pp Lance eesI
Inspected and Approved .DA .........
...:..
__ DATP. INSP0CT011