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886 (2) d ag ,y 17 91 5j�`��1�,_\���{gP�� .LOT NO. 4" NO�Li--r G baT ® 'y �� (AOR APPLIANCE PERMIT p t 9 3 19C2` 1 II TY OF. CUPERTINO �J UL V bed I Date /� 196.'�Z� Permit No-1-16- CIA o. CI OF. UPERTIN Pee $ 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 (h appliances in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other la applicable thereto. . u Use of Premi �� ✓1 SO " Own �✓�� _ Address j By ` Address / 3 CON ACTOR, AGENT Q Phone 6— 'L Approved PLUMBING INSPECTOR Remarks (Check ✓) Type of Appliance—1 Units Fees II New I Replace I Relocate Gas Ranges 11 1 Wall Heaters I I 1 Gas Plates I 1 II 1 1 Circulating Heaters I 1 Blower Furnaces Gas Fired Boilers If 1 II Warming Ovens II I Percolators Griddles 1 II I Steam Tables I I 1 Gravity Furnaces I Il_ I 1 Suspended Unit 1 I II I �— Floor Furnace_, _. I I Miscellaneous ii I ME TYPE) I I D II I I Imo,Bell I II I ,00lll 1 pp lance Fees Inspected and and Approved .. .JJ..... ....... ........................ DATE INSPECTOR