789V •�f,l
NO.
APR 2 3 ISW
LOT NO. ��OL
PERMIT
Permit No.
Fee 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
appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises°�'�`^""-t
Owner A'� %?9iw i _
HEATING & SUN"ETOA, 606" qW
r...cnlrwneftc GVF CAMPRFLL CALIF.
Address
Address
Approved
PLUMBING INSPaCTO
Type of Appliance Units Fees I
Remarks (Cited. ✓)
New Replace Relocate
Gas Ranges
XV2 Heaters
Gas Plates
Circulating Heaters ��
f
Plower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended e
Floor Furnace
Miscellaneous
j
NAME TYPE)
PP Lanceeel s /Sy
r—
Inspected and Approved .............. ._........_.........._...................---
DATE INSPECTOR