1145 (2) IC1 Lc( rl a A_Y alni t�JY LM NO.J_
NO. C BT e_.- Tract 20
APPLIANCE PERMIT
MIFEB 11 1DUAbP CUPERTINO
Date 2/8/63 196Ably
Permit No. I t ��
CITY OF CUPERT10--- so
W Fee a (0
N Application is hereby made to the City of Cupertino for a permit to install
pgas 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
c
Use of Premises
u
Owner Cupertino Prol td _ Address 82 Market St
fd�RL05 SHEET METAL ''A - Sn a Cisco
nYoy ° Address
PhedA� Approved/�Z
G _� PLUMBING SPE OR
Remarks (Check ✓)
Type of Appliance I Units Fees II New 1 Replace Relocate
Gas Ranges j
Wall Heaters jl
Gu Plates
Circulating Heaters 1
Blower Furnaces
Gas Fired Boilers
Warming Ovens 1 11 1
Percolators
Griddles
Steam Tables II 1
Gravity Furnaces i_.
Suspended Unit jj
Floor Furnace
Miscellaneous j 1
(NAME TYPE) 1 j 11 I
1 Fee I 2.0.011_ I
10 out I 2.5011 I
1 Gas out. I I .5011 I _
I I II
PP ance�ees � �
inspected and Approve&7....7::; 1 .. . .................................
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