723 cuTNo. 57act #3442
V0 3 e Oak Dell Ranch
APPLICATIO OR APPLIANCE PERMIT
If MAY 12 1964 c OF CUPERTINO ,
5/8/64 �3
_LY�TO U[ C InrnTt1Vy , r9G..... Permit No.
X117 � �
� Fee S
0 Application is hereby made to the City of Cupertino for a permit to install
ri 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.
x
° Res .
a Use of Premises
I,, Owner Duc & Elliot _ Address 1408 N. Winchester
San C los Sheet Metal %'0AS AlIft Address
719 01 oun y cGNIAACTOR, Acervr
San CapAnPalifornia 591-2605 Approve
I PLUMBING INSPRROR
Remarks (Check ✓)
Type of Appliance Units Fees I New Replace Relocate
Gas Ranges
_Wall Heaters I
Gas Plates I I
Circulating Heaters
Blower Furnaces 1 1.0Q X I I
Gas Fired Boilers ( II 1
Warming Ovens 11 1
'Percolators it 1
Griddles II
Steam Tables I 11
Gravity Furnaces I 11
Suspended Unit I I II I
_Floor Furnace I 1
II I
_Miscellaneous
(NAME TYPE)
3 Ton Air orq IZ.UE1 1
2 Vents I I I
11 Outlets I N 1 2. 75 1 _
fee til.00EW I
pp Iance Fees
Inspected and Approved .. ..�.
DATE. INSPECTOR