Loading...
1178 (2) O SO� Rolfe Road Lar NO # 13 No. smear IR R APPLIANCE PERMIT �,1MAR 2 81963 OF CUPERiINO Date- ffaroh 20th 196._S. Permit No. CITY OF CUPERTINO Fee:10.75 a Application is hereby made to the City of Cupertino for a permit to install Lo Lo gas appliances as listed on the reverse side hereof, and agrees to install said ,wr appliances in accordance with the provisions of the Plumbing rode of the City N of Cupertino, and all other laws applicable thereto. a UseofPremiaes Triplex - new-dwell6ng Owner Lee - Tom Interpriaea_ Address loin . Ave A_J. gy ROYAL SHEETMBT•_%'; A 88 C Ave. - Campbe Cotvraecroa, AGWIM phi 878-7481 Approved PLGNa1NG VNBP T T Remarks a1e0 1r Type of Appliance_ Units Fees New Replace I Re Date Gas Ranges NVsll Haters 4 �� S Gas Plates II. Cir sting Haters Blower Furnaces Gas Fired Boilers I arming Ovens I Percolators _ Griddle II Steam able Gravity Furnaces (— i 'Sus de�Unit Floor Furnace Misce�oes NAME TYPE) BEAT Duos 0.25 2.25 Us Outlets b LOW I Permit 2 — I pp lance ^ea b 1 I7' Inspected and Appro'ved),I. .. . At ............................. p g INSPECTOa