660 (2) / 9 6 ° / ` Lor No. 2 3
N i.���DEC 2 9 19�F �uPP IANoCE PERMIT
Date YYVV
01 I. ff1TAR 1961 /�IIDCDTIA061... Permit No. (.0 o
Pees ( �
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 rode of the City
of Cupertino, and all other laws applicable thereto.
u"
Use bf Premises
u
Owner Address _
Yin
m slo Address
�✓ HEATING & SHEE?jVjMot+GHNr
180 Epfiiklmi YOAKS AVF rnIIPgELI, CAMP Approve `
PLVM BING INSPH H
:Remarks (Check✓l•':°=
Type of Appliance I Units Fees II New Replace Relocate l
Gas,Ranges �� }
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces / �r•a " �� `� i
Gas Fired Boilers
Warming Ovens �.
Percolators
`Griddles
Steam Tables
Gravity Furnaces
Suspended Unit II
Floor Furnace
r
Miscellaneous. ' n
NAME TYPE)
h
pp lance Fees
Inspected and Approved 11 : . ..... .........<._.._....................
ATF INSPECTOR
GAS SERVICE ' ICS g OFFICE
p fLr f r? ' , COPi
BUILDING• INSPECTO 'S, OPI ICG -
CITY Ol CUPI
-• . You are hereby authorized to connect the GAS service for
Owner^or•Tenant .......!F.-. -.._ - -- . - ---------------------
At [�
/ /4 � �_
/.....C. ... ....-f/... - s ........... .«. -----------------
�.�New Service'--........,---------------
No. of Meters .......1.------------ Reconnect -------:..................i..
Move Service -- ----------------------
No. of Add. Meters -------------- Move Meter ....:.....................
`t1
t"0o ri PLrG r£ SPECTOR -