291 (2) lo.=Y'IXti � +INbR u-) C -�" PWQ- LOT NO. #1) 1
sTaeer7a Idiew id Green.
APPLV;3W ITONLFOR APPLIANCE_ PERMIT
CITY OF CUPERTINOyt'
Date "-11�3�6.0 ..
__ ..,.n 196..... - Permit No. r /
iit'L1(I11
"x Fee S-
1'~ . 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 bode of the City
F of Cupertin6,'and all other laws applicable thereto.
Use of Premises RPs .
u
Owner RM799 P.8ll Ori. _ Addres 8 S
�I4410SSHEET METAL WORKS,. INC.- a F Ci9C0
00DYX I Address
'719 OLD,. COLNRJ'R?AW7,j Nr _
/26e!i•,SParO.RLOS, CALIFORNIA.,=n_ � �ApprOv
PLUMBING INSPB
r21i .. .
:Remarks (ChecicF✓al74-
(Mams
- f Appliance-j„I Units.;;Fees New I Replace I Reli ates Ran e; °ill
g.. Ss
PPlates culating;Heaters G�� 'ower F,arnaces pl i1,x, II`
: Gu'�F red Boilers IE• PIs II I . _
WarmmgaOw`,en's�lE';
Percolators'l1, Imo` I I:
�r"4Stearti Tables -
I"'•Gravity Furnaces I
-Suspende&Unit,4`. I II
Floor Furnace
Miscellaneous
(NAME TYPE) II i
I I II I
I I II I
I I 91 I I
Appliance Fees
Inspected and Approved/ .� ---..
D P. INSPECTOR