1745 (2) Tract 43150
2
�--ror NO. 148
No. o E Bayiuood Terr
R109R APPLIARkE PERMIT
8Y 1 7 7994 OF CUPERTINO
No.
Date/. o5/8/64, 196..... Permit
Ci i of U01 "Iltuull Go Fee $
N
co Application is hereby made to the City of Cupertino for a permit to install
Hgas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
0
u
Use of Premises Res
W .
War Crump
n owner Dev. Inc. P 0 Box 634
oS Sheet Meta a — Address _
Sanco, - Address
779 Old ON Y CONTRACTOR, AGENT
San CWgg1�California [91-2605 Approved �4
PLUMBING INSPECT
Remarks (Check J)
Type of Appliance Units Fees New I Replace Relocate
Gas Ranges
\/all Heaters
Gas Plates II
Circulating Heaters
Slower Furnaces 1 1-00 X
Gas Fired Boilers
Warming Ovens II
Percolators II I
Griddles II
S les I I
r y Furnas" II_
u uspended Unit
Floor Furnace II"
II
Miscellaneous u
NAME TYPE)
,: vents 4 I
11
I
pp Bance Fees
Inspected and Approved .-7..-1Q:'. ._.... . . :.. _.......... ............
DATF INSPECTOR
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