1638Is
NO.
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LOT NO. 9
FOR APPLIANCE PERMIT
'FEB 2 8 1964 CITY OF CUPERTINO
Date FEB 18964 Permit No.����QQ ,{Q"�
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U: i Y Ut uu;--LK
Fee S '? e
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 rode of the City
of Cupertino, and all other laws applicable thereto.
Use of
RESIDENCE
Owner INLAND EMPIRE DEV. _
By MERCURY SHEET METAL
CONTRACTOR, AGENT
Phone 739.4223
060 CAMDEN AVE.
Address rAMPBELL. RAI IF _
Address 81 �CE AVE., MT. VIEW
Approved
PLUMBING INSPBCTO '
Type of Appliance I Units Fees I
Remarks (Check ✓)
,New I Replace Relocate
Gas Ranges
Wall Heaters I
I I
Gas Plates
II
Circulating Heaters I
11
. Blower Furnaces I/S-11
I I
Gas Fired Boilers I
11
Warming Ovens
Percolators
it
Griddles
Steam Tables
Gravity,Furnaces I
I
`Susperid'ed Unit
Floor Furnace
_
Miscellaneous
NAME TYPE)
I I
II I
I I
II I
Appliance
Inspected and Approved .... ....._0 ................
INSPECTOR
i