1750 (2) Tract 3150 Y
LOT NO. 1Z{
No. STREET -—l Baywood Terr
0
A PPLIANCE PERMIT
,CUPERTINO
MAY 12 10
Date 5/8/64 196----. Permit No.—/-7—
o. / �/S�
Go CITY OF CUPERTNO Fee a S
N
00 Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the Provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises Res .
y Ward Crump
—9 Owner DPv. Inc. P 0 BOX 634
Address u_C__-___t3�—
San Btarios Sheet Metal Works � Address
779 old County RoAONTRACTOR� AGENT
San ebW �ylifnrnia 91-260� Approved
PLUMBING INSPECTOR
Remarks (Check ✓)
Type of Appliance Units Fees I New Replace I Relocate
Gas Ranges II I
\Y/all Heaters I I I I
Gas Plates I I
Circulating Heaters
Blower Furnaces I I •' i lI I
Gas Fired Boilers I I II I I
Warming Ovens
Percolators
Griddles I I II
Steam Tables I I
Gravity Furnaces I I
Suspended Unit II
,Floor Furnace
I I
Miscellaneous
NAME TYPE _
_ AW +�•
I I II I
of
pp lance Fees
Inspected and Approved ... .. . . . ti"'' ..... ...... ......
ATP. INSPECT00.
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