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�APPL-ICATION FI
CEEB 26 1964 Q�
FEB 181964
Date
f't
LOT NO. C.2-10
APPLIANCE PERMIT
OF CUPERTI10
196..... Permit No. ��9
U11 V OF
Feet �
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 bode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises RESIDENCE
960 CAMDEN AVE.
Owner INLAND EMPIRE DEV. Address CAMPBELL. CAI IF_
By MERCURY SHEET METAL / Address Sl A!'QE E. MT. VIEW
CONTRACTOR, AG ;T
Phone 739.4223 Approved
PLUMBING INSPECTOR
' Type of Appliance Units Fees
Remarks (Check ✓)
) New Replace Relocate
Gas Ranges
I�
Wall Heaters
Gas Plates
Circulating Heaters
I�
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables -
Gravity Furnaces
Suspended Unit
II
Floor Furnace
��'-0
H
°Miscellaneous
it
(NAME TYPE)
iZZ-04
.Appliance Fees
I I
Inspected and'Approvedl.....7y-1 .......................1
�'' DAT INSPECTOR