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LOT NO.
NO. SMEET Oake anch
® I FOR APPLIANCE PERMIT
ITY OF CUPERTINO
t�' MAY 12 1 g
Permit No.
CITY OF CUPERT l%' Fee:cc
,9 7�
Application is hereby made to the City of Cupertino fora 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.
`Res.
Use of Premises
Duc & Elliot 1408 N. LJinchester
in Owner _ Address3ej,jos-s--
San
os-s —
San Cads Sheet Metal Works Address
779 Old County Road coNT�§ion,��e�� A rove
$a0 C3HhEy$311t0fILa PP pLUNBMG INSPECTO
Type of Appliance I Units Fees
Remarks (Check ✓)
New I Replace I Relocate
Gas Ranges 11
1
Wall Heaters 11
I 1
Gas Plates
Circulating Heaters I 11
I I
Blower Furnaces I 11.0011
g I I
Gas Fired Boilers 1
I 1 1
Warming'Ovens 1 1 11
I 1
Percolators 1
1
Griddles
II
Steam Tables 1
11 1
Gravity Furnaces
Suspended Unit
Floor Furnace
I
II
II I
Miscellaneous 1
n 1
•NAME TYPE 1
I . 00
1 (
II
.Vans 1 12.0,011
1.1 Outlets 1 12-7511
1
PAR
_
pp lance Fees 7
Inspected and Approved
...................
DATFJ I INSPECTOR