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862 (2) 03 LOT NQ,_L NO. gB Tract #288o I ATI. PPLIANCE PERMIT ' ' JUL� 10 19*CUPERTINO .Date Z CUpWI 6... Permit No. 96'V u .50 Fee S 00 N Application•is hereby made to the City of Cupertino for a permit to install Gogas appliances as listed on the reverse side hereof, and agrees to install said H appliances in accordance with the provisions of the Plumbing rode of the City of Cupertino, and all other laws applicable thereto. u Use of Premises Res . u Owner Thomas Constr _ Address?59 Caa�1be11 Ave. SAN A LOS SHEET METAL WORKS, ^an pbe ll 9 P&D COUNTY ROAD Addrese N CARLOS. C R A4EN Phone 14y 1- Approve PLUMBING INSPRCrOR Remarks (Check ✓) Type of Appliance I Units Fees II New Replace I Rdocate Gas"Ranges Walt Heaters Gas'Plates Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens44 IT I. Percolators Griddles Steam Tables �� Gravity Furnaces Suspended Unit � � L__._ Floor Furnace Miscellaneous (NAME TYPO ! 1 ppee5 DATP. �N. inspected and Approved . .�.ZTF •� -• SPBCTOR _ Z y �•\ \ � FL } \ \ J99 / R y \ � \ ` mI e m m j � • , ; w/