324 (2) LOT No.
NO. STREET '
`� 1 5 S APPLICATION ;FOR GAS PERMIT
CITY OF CUPERTINO
Date 5' Permit No.
APR 10 9959 c' Fee
N $
Application is hereby made to the City of Cupertino for a permit to install gas pipes
� and/or gas RoliiT*S ffist�d� f�ide hereof, and agrees to install said pipes
and/or appliances In accordannce'w99mMvisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
u
a SLOWERFURNACE
a
Use of Premises SETTEiZ SUPERT-;NO 110M S
v IDLEWILD TR #2155--
'4 Owner SAN CARLOS SHEEM&d ss.TAL WKS. -
B ,779 OLD COUP R A- S AN CARLOS
Y
CONTRACTOR, AGENT
Phone Approved
PL Ma1NG INSPECTOR ���
Remarks (Check d) .
Type of Appliance I Units Fees II New I Replace Relocate
Gas Ranges I II
Wall Heaters
Gas PlatesI
Circulating Heaters I II I I
Blower Furnaces
Gas.Fired Boilers I 'I
Warming Ovens I I
"Percolators
Griddles I 1 II
Steam Tables I II I I
Gravity Furnaces
Suspended Unit I
Floor Furnace. I. II IAsk, I
I I II ' I
Miscellaneous
NAME TYPE)
I I II I I
I I II I I
I I II I I
pp lance Fees I I�.Sz�Inspected and and Approved ,z.l!r..�4...:'.��..:4 ..... ..!%lcf........
DATF INSPECTOR
HOUSE GAS PIPING
Number of Outlets I i Size of Main I.
GA Piping Fees I I .
Tested and Approved ... ..........::........L::....::......................................
DATE INSPECTOR