685 (2) LOT NO. rr E1
NO. STRHHT \ Idlewild #288(
rVPjt IQ a R APPLIANCE PERMIT
�� OF CUPERTINO
FEB 7 1962 Sr
Date 24519-2 196..... Permit No.
�8
CITY OF C&ERTINO Fee a
pplication 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 slid
appliances in accordance with the provisions of the Plumbing r.ode of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises j;®g
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ti
Owner
��t�vcpRousseau Org. _ Address 82 Mar�C t St.
SAN CO53FiEE7�M€TRl Address S F1 15 co
IAD
Z7 n CONTRALTO AGHNT
Yt ont LD COUNTY R& Approve
4f` SAN C PLUMBING INSPB
Remarks (Check Jl
Type of Appliance I Units Fees II New Replace Relocate
Gas.Rani--
ang11 I I
%Va!l Heaters ir_
Gas Plates
Circulating caters
Blower FurnHaces �� X
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces I
Suspended Unit
Floor Furnace
Miscellaneous
(NAME TYPE
Snte ees
Inspected t _
and Approved ....... .
DATP. INSPECTOR
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