1719 53
��wy 161t-�� Tract '344 2
LOT NO.
NO. STRET�Ti Oak Dellanch
D T! R APPLIANCE PERMIT
OF CUPERTINO
+� (MAY 12 1964
Date 5/8/64 196..... Permit No.GO
CITY OF CUPERT1I"' Fre , /o eO
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.
u
Res.
a Use of Premises
u
V) Owner Duc & Elliot _ Address1408 N. Winchester
San Carlos Shee, Mctal Works San Jose
779 Old Address
CONTEACTOR, AGENT
San Cams,California rycZl-2605 Approved
PLUMBING INSPECTOR
Remarks (Check J)
Type of Appliance Units Fees New I Replace I Relocate
Gas Ranges
Wall Heaters I 1
Gas Plates I I
Circulating Heaters I 1
i9lower Furnaces 11 11.00 X I I
Gas Fired Boilers I 11 1
V(/arming Ovens 1
Percolators 1
Griddles II
Steam Tables 11
Gravity Furnaces
'Suspended Unit I 1
Floor Furnace 11 1
I II I
,Miscellaneous 1 1 ii
NAME TYPE) I II I
_3 Ton Air Codd 12.00 1
2 Vents 1 12.00 I
12 outlets 1 13.041 1 _
Pee 1 1 2.00
I III
Appliance I7 �r
Inspected and Approved . .'.. . . ' 1
ATE. ` INSPECTOR