1689 Pharlap Ave.1'
LOT NO.
No. ��s Tract 3 1�2
FraPi�FG�A, R APPLIANCE PERMIT
00 FFAAR
a o ossa OF CUPERTINO
m Date 3120/64 196..... Permit No. A
CITY OF CUPERT�7,W%o FK :
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
C
Use of Premises Re s.
.9 Owner Duc & Elliot Address 1408 N. Winchester
an
Sar��arlosSheetMetal of — Sose —
779 oun y Address
TRACTOR, AGENT
SarprtiFet 6al'rfarr .91-2605 Approved
PLUMBING INSPECTOR
Remarks (Check ✓)
Type of Appliance Units Fees New Replace Relocate
Gas Ranges
—Wall Heaters I I I
Gas Plates I II I I
Circulating Heaters I II
Blower Furnaces I i• 1 1
Gas Fired Boilers I 1 Il I I
Warming Ovens
Percolators
Griddles 1 11 I 1
Steam Tables 11 1
Gravity Furnaces 1
Swpended'Unit II _
Floor Furnace
I I I
Miscellaneous
NAME TYPE)
Fee I I
Ton AiroFid 1 I
2 vents I 12.00 1 _
12 Outlets 1 13.00 1
pp lance Fees •0
Inspected and Approved .. .: ... . !. .L:.......................................
� `A \ INSPECTOR