1566 /v Wolfe Rd. LOT No. 19
ep"A".'LICARI ic!;Y
FOR APPLIANCE PERMIT
OV 19 1963 OF CUPERTINO
Dater �"s r12•r —...— 196.3._ Permit No. �5�6
3 Lt iT�ifl"Cf4 : i ' d
i
Fee Z /B•00
Application is hereby made to the City of Cupertino for a permit to install
UN gas appliances as listed on the reverse side hereof, and agrees to install said
-4 appliances in accordance with the provisions of the Plumbing c'.ode of the City
CV of Cupertino, and all other laws applicable thereto.
U,
UseofPremises -TFIi4e8 ON
u
n Owner Les Tom Rnterprises _ Adm 1817 Hamilton Ave.. S.J.
By Royal Sh¢e�'ettgYetal.Inc. Address 86 Camden Ave. Cam bell
Phone 378cr4"��R, AGENT Approve
PLUMBING ENSPECTo
Remarks (Ched� ✓)
Type of Appliance I Units Fees II New I Replace I Relocate
Gas Ranges I 11 I 1.
VPall Heaters3 3.0011 x _�
Gu-Plates all 1 1
Circulating Heaters 11 1 1
Blower Furnaces x 1
Gas Fired Boilers
Warming Ovens
Percolators _
Griddles I 11 1
Steam Tables
Gravity Furnaces Il 1 I
Suspended Iff t,
Floor Furnace- 1
11 INOW
Miscellaneous 111
(NAME•TYPE) I II
Iteat Ducte��z.0dl _)
1 II �—�—
pp jance 'ees 000,
Inspected and ApprcVedl)..'%c� .3.'
n F. INSPECTOR