1512 LOT NO.
NO.
PPLLIIC OFOR APPLIANCE PERMIT
OCT 9 1963 CFI- OF CUPERTINO
DateCC T�qFgF' -1 6 T ^';'196.._.. Permit No. 5 _
Fee S J eE
Application is hereby nude to the City of Cupertino for a permit to install
�s gas appliances as listed on the reverse side hereof, and agrees to install siid
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
�C
Use of Premises RESILIENCE
556 N. 187 9T.
Cn Owner DITZ-CRANE _ Address GAN JOSE, CALIF.
By MERCURY SHEET METAL Address LCE AVE. MT. VIEW
CONTRACTOR, AGENT
Phone 739.4223 Approved
PLUMHING INSP XC
Remarks (Check ✓)
Type of Appliance I Units Fees I New I Replace I Relocate
Gas Ranges I I I
Wall Heaters
Gas Plates II I
Circulating Heaters
Blower Furnaces °�I
,Gas Fired Boilers
'Warming Ovens
.Percolators
'Griddles
Steam Tables II I
Gravity Furnaces I II
Suspended Unit I I
Floor Furnace
Miscellaneous o
NAME TYPE)
o .soll I
I I II I
I I II I
oe
Appliance Fees —�
Inspected and Approve ........................
DATE INSPECTOR