960 (2) LOT NO. 9
N/. Tract #3150
?VVIC&IR APPLIANCE PERMIT
OCT 1 1962 C�F CUPERTINO
� Date 9/24/62 _... Permit No.�
–Gffr �urr �4j6. -
/
N Fee $ U �
p Application is hereliy made to the City of Cupertino for a permit to install
� gas appliances asilisted on the reverse side hereof, and agrees to install slid
appliances in accordance with the provisions of the Plumbing° ode•of.the City
of Cupertino, and all other laws applicable thereto.
Use of Premises Re s.
*' Camino Del Homes _
-Owner _ Address P 0 $9R— 34-
B - Address Cupertino
By CONTRALTO GENT
PhoneTApproved
PLUMBING INSPECTOR
Remarks (Check ✓)
Type of Appliance Units Fees II New I Replace I Relocate
Gas.Ranges I Il 1
Wa!l Heaters
—Gas--PlatesI II
Circulating Heaters I I I
Blower Furnaces 11 1 1.50
Gas Fired Boilers 1 -
'` Warming Ovens
pertolat
rt dles •....,Ls
team es 1 I II
Gravity Furnaces
—t a ed Unit I
Floor Fui I 11 A I
Miscellaneous ii I
(NAME. TYPE)
Tni A+a I II
Fee I 12.od1 I
pp Iance Fees a lial
Inspected and Approved ��a/_ 1.. .........._............... .... ......
DATE INSPECTOR.
i t 1
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