277 (2) / 60yr /0®(&)t'CL / TL"V LOT NO.�#1g�
APPLICATION FOR APPLIANCE PERMIT
a t) i �CI11 OF CUPERTINO (�7
Date 9/23/60--,,:� , 196..... Permit Not" `
Fee s—_�
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
t — appliances in accordance with the provisions of the Plumbing bode of the City
of Cupertino, and all other laws applicable thereto.
c _
gRes ,
Use of-Pfemise's
Rntyg�o�,L1 (lam _ Addre*ekW—
XV9
!,f%SAN CAs SHEET METAL WORKS, INC. Addre
�t �Iw J' OLD COIkbFYrrBe", AGBNTSP(,b&-RCOS CLIFORNIA Appro'���26•S a- i � , PLONBI G INSPB B
�,, Remarks (Check dl '
Type J Appliance I Units Fees II New ' Re
; place Relocate
.v
Wall•Heaters
—Gas Plates
Circulating Heaters:1��li:,, �� I, .
Blower Furnaces X
Gas,Fired-Boilers
ks `+Waiming Owens
Griddles
; Sfeam Tables
Gravity Furnaces.
s.;Suspended Unit fl! II 1
Flooc
t Miscellaneous o
' NAME TYPE) I I II
pp lance Fees 1. 011
lnspec•ed and Approved ... .('V ! _
ATE INSPECTOR
t