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294 (2) 163t� i �o2L>1l LOT NO.#1 0 NO.,- STREET Idlewild Greens ® 4 FOR APPLIANCE PERMIT e CITY OF CUPERTINO irvov 7 (— ` � Date 16 _ 196..... Permit No.--- o. CITY OF CUPERTINO Fee s-L �-. 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 p appliances in accordance with the provisions of the Plumbing bode of the City of Cupertino, and all other laws applicable thereto. Res . Premises /f7/"7d Owner Rousseau Org. _ Address m t St. -'`"SAN CARLOS SHEET METAL WORKS, INC, �,. S F a is co >z I Address /-s6*�,Spon€ARLOS,. CALIFORNIA' t Approved - , ; PLUMBING INSP. 4... t 4 r Remarks (Check ✓) Type of.;Appliance l Units Feesjll"New I Replace I Relocate Gas Ranges �;-• �� Wall Heaters -.-F II I Gas Plates I I II Circulating Heaters Blower Furnaces X Gas Fired Boilers I `- Warming Ovens I I I x• Percolators�11 I:71" Griddles Steam Tables I rI'• ,, Gravity utli ces Suspended Unit I Floor Furnace I Miscellaneous I iI NAME TYPE I I II I I I II I I I II I I I II I i I I 11 IT__ pp ante Fees I I II Insp&ted and Approved ... ..... .. ............... DATE. INSPECTOR